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Massive Airway Bleeding Caused by Pulmonary Strongyloidiasis in a Patient with a Transplanted Kidney.

Authors :
Zhu, Longyin
Zhang, Huhai
Fang, Jia
Xiao, Shuang
Xiong, Fu
Deng, Caixia
Yang, Qin
Fu, Chunxiao
Pan, Qianguang
Zhao, Hongwen
Source :
International Medical Case Reports Journal; Jan2024, Vol. 17, p1-7, 7p
Publication Year :
2024

Abstract

Introduction: We report a fatal case of massive airway bleeding caused by pulmonary strongyloidiasis in a patient with a transplanted kidney.Case Presentation: A 47-year-old male, regularly taking immunosuppressants post-kidney transplant, visited our hospital with symptoms of abdominal bloating, nausea, and emesis persisting for three days. After hospitalization, he developed a cough, hemoptysis, and respiratory failure. Sputum analysis confirmed an infestation with Strongyloides stercoralis. Despite receiving albendazole therapy and bronchoscopic management for bronchial hemorrhage, the patient ultimately died due to acute respiratory and circulatory collapse triggered by severe airway bleeding.Conclusion: Patients undergoing immunosuppressive therapy following kidney transplantation are at increased risk for disseminated strongyloidiasis. Consequently, infectious disease screening prior to transplantation, along with essential preventive pharmacotherapy, is of paramount importance. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
1179142X
Volume :
17
Database :
Complementary Index
Journal :
International Medical Case Reports Journal
Publication Type :
Academic Journal
Accession number :
175729349
Full Text :
https://doi.org/10.2147/IMCRJ.S442535