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Pulmonary Strongyloidiasis Complicating Therapy with Corticosteroids

Report of a Case With Secondary Bacterial Infections

Rolando BergerVeterans Administration Hospital, Lexington, Kentucky 40507

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Steve KramanVeterans Administration Hospital, Lexington, Kentucky 40507

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Mark PaciottiVeterans Administration Hospital, Lexington, Kentucky 40507

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We report a case of pulmonary strongyloidiasis which occurred after high-dose corticosteroid therapy. Our patient responded very well to treatment with thiabendazole, despite the fact that the steroids were continued throughout his entire hospital course. Further complications included pseudomonas meningitis and Klebsiella pneumoniae pneumonia, both of which resolved with appropriate treatment.

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