A 55-year-old black man, a lifelong resident of Cleveland, with chronic lymphatic leukemia developed a fatal, massive, pulmonary infection with diffuse bilateral alveolar infiltrate on x-ray film. Bronchial washings and postmortem examination showed the infectious agent to be Strongyloides stercoralis. Pulmonary infection is a unique mode of presentation of disseminated strongyloidiasis. The absence of significant prior gastrointestinal symptoms and the occurrence in a temperate climate are especially noteworthy.
(JAMA 230:426-427, 1974)