Parasitic necrotizing pneumonia in an immunocompetent patient in United States
| Autor: | Ricardo Conti, Gayatri B. Nair, Harish Gopalakrishna |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
lcsh:Internal medicine Necrotizing pneumonia necrotizing Case Report Computed tomography 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Internal Medicine medicine pneumonia 030212 general & internal medicine strongyloidiasis lcsh:RC31-1245 Asthma Productive Cough medicine.diagnostic_test business.industry stain sputum asthma medicine.disease respiratory tract diseases culture Pneumonia Strongyloidiasis Sputum medicine.symptom business |
| Zdroj: | Journal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 1, Pp 69-71 (2021) Journal of Community Hospital Internal Medicine Perspectives article-version (VoR) Version of Record |
| ISSN: | 2000-9666 |
| Popis: | A 59-year-old Baltimore native female, with a history of asthma and no history of travel outside of the USA, presented with productive cough and shortness of breath. Computed tomography scan showed left upper lobe consolidation of the lung with multiple tiny cavitations. She was empirically treated without improvement. Later, strongyloides were found in the sputum gram stain and she was treated with ivermectin. Pulmonary strongyloidiasis has been mainly described in patients who are immunosuppressed and have a history of travel to endemic areas, both of which were absent in our patient. Our case underlines the importance of considering strongyloides necrotizing pneumonia as a differential diagnosis of community-acquired pneumonia even in immunocompetent patients in the USA, especially if not responding to empiric treatment. |
| Databáze: | OpenAIRE |
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