Research Article

Coinfection of Strongyloides stercoralis and Aspergillus sp.

Table 1

Reported cases of coinfection of Strongyloides stercoralis and Aspergillus.

Age/sexPlace of originUnderlying diseaseImmunosuppressive therapyClinical presentationEosinophiliaPositive sample for S. stercoralisPositive sample for AspergillusAspergillus species identifiedAntiparasitic treatmentOutcomeReference

155 year/manBehbahanTwo mass in the lungOral corticosteroidChronic cough, shortness of breath, wheezing, chest pain, obvious weight loss, weakness, and loss of appetite0%Wet mount of faecesSputum direct examination and cultureA. flavus and A. nigerIvermectin (only for one day)Developed cardiac arrest and deceasedThis study
236 year/manSan Antonio, TexasAcute lymphoblastic leukemiaOral corticosteroid and chemotherapyDyspnea, malaise, fever, and hemoptysis18% eosinophiliaSputum cytologySputum and lavage fluid culturesA. flavus and A. terreusIvermectinDischarged in stable conditionShrestha et al. [17]
366 year/manNicaraguaUlcerative colitisIV steroidsWatery diarrhea with occasional bloodUnknownBAL and CSF direct examinationBAL direct examination and at autopsy, multiple foci of lung involvement by Aspergillus were seenUnknownIvermectinDeveloped bradycardia and asystole and deceasedImperatore et al. [18]
474 year/manUnknownCough, shortness of breath after activity expectorationUnknownWeight loss, hemoptysis accompanied by fever, and poor appetite0.1% eosinophiliaBAL direct examination and wet mount of faecesSeveral sputa and BAL culturesUnknownAlbendazoleDischarged in stable conditionGuo et al. [15]
573 year/manUnknownNon-Hodgkin’s lymphoma, ischaemic heart disease, and chronic obstructive pulmonary diseaseOral corticosteroid and radiotherapyGeneral malaise, high fever, vomiting, and low blood pressure1% eosinophiliaSputum direct examinationSputum direct examination and cultureA. fumigatusDid not receiveDeceasedWagenvoort et al. [20]
658-year/womanUnknownNonallergic asthmaAerosol corticosteroidsProgressive respiratory distress syndrome17.2% eosinophiliaTracheal aspirationsHigh serum level of antibodies to AspergillusA. fumigatusIvermectinDischarged in stable conditionJacquemart et al. [19]
759-year/manUnknownChronic obstructive lung diseaseOral corticosteroidHematuria, hemoptysis, hematemesis, and respiratory failureUnknownWet mount of faeces and sputum direct examinationSputum culture and at autopsy demonstrated disseminated aspergillosisA. fumigatusThiabendazoleDeceasedTankanow et al. [16]