Hyperinfection with Strongyloides stercoralis in an asthmatic patient on corticosteroids.

The autoinfective larvae of Strongyloides stercoralis cause hyperinfection in immunocompromised hosts. We report a case of hyperinfection with Strongyloides stercoralis in an asthmatic patient on corticosteroids presenting with cough, expectoration, abdominal pain and loose motions. Larvae were detected in Gram stained sputum smears, stool and duodenal aspirates. Duodenal aspirates also revealed adult worms laden with eggs. The patient responded to treatment with ivermectin. We believe this is the first report of hyperinfection with Strongyloides stercoralis from Kashmir, India located in a temperate area.