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Infections due to Strongyloides stercoralis are unusual in western Uttar Pradesh. We report a case in which S. stercoralis was isolated from the sputum of an immunocompetent female patient who presented with fever and hemoptysis. No elevation of eosinophils had been shown during peripheral blood smear examination. Microscopic examination of sputum for acid-fast bacilli with light emitted diode (LED) microscope and stool revealed the larval form of S. stercoralis. The patient was treated with ivermectin and recovered gradually.