Hyper Infection of Strongyloides Stercoralis Associated With Secondary Bacterial Pneumonia in a Malnourished Patient

Strongyloides stercoralis, an intestinal nematode is more prevalent in the tropics or subtropics. Hyperinfection syndrome in immunocompetent patients is due to asymptomatic infections, increased parasite number, dissemination and it leads to death if unnoticed. Use of corticosteroids, HIV, HTLV-1, malignancies and malnutrition are predisposing factors for hyperinfection. Secondary bacterial infections are known to cause increased mortality in these patients. Here we report a case of strongyloides hyperinfection syndrome associated with secondary bacterial pneumonia in a malnourished female patient.