In patients with abnormalities of cell-mediated immunity, strongyloides hyperinfection syndrome may occur producing pulmonary infection that may manifest as asthma, chronic bronchitis, haemoptysis, eosinophilia and pulmonary infiltrates. We report a case of an uncontrolled asthma patient who presented with fever and haemoptysis. She had no evidence of immunosuppression and CT chest showed a lesion suspicious of malignancy, sputum cytology showed strongyloides larvae and the patient had complete recovery with treatment.