An unusual cause of alveolar hemorrhage post hematopoietic stem cell transplantation: A case report
2006

Alveolar Hemorrhage After Stem Cell Transplant Due to Strongyloides Infection

publication Evidence: low

Author Information

Author(s): Gupta Sachin, Jain Amit, Fanning Tina V, Couriel Daniel R, Jimenez Carlos A, Eapen Georgie A

Primary Institution: The University of Texas M.D. Anderson Cancer Center

Hypothesis

Strongyloides stercoralis hyperinfection may cause diffuse alveolar hemorrhage in patients post hematopoietic stem cell transplantation.

Conclusion

Strongyloides stercoralis hyperinfection is a rare but serious cause of alveolar hemorrhage after hematopoietic stem cell transplantation, leading to high mortality.

Supporting Evidence

  • Strongyloides hyperinfection has a mortality exceeding 80%.
  • Screening for Strongyloides prior to HSCT may improve outcomes.
  • The patient developed respiratory failure and died 14 days after diagnosis.

Takeaway

Sometimes, after a special cancer treatment called stem cell transplant, a tiny bug can make people very sick and cause serious lung problems.

Methodology

Case report detailing the clinical presentation, treatment, and outcomes of a patient with Strongyloides hyperinfection after HSCT.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

52-year old Puerto Rican male.

Digital Object Identifier (DOI)

10.1186/1471-2407-6-87

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