The male patient 11 months old admitted National hospital of Pediatrics with first diagnosis was Pneumonia! Suspecting of Strongyloides stercoralis. This patient has presented with a 14 day history of fever, cough and skin hemorrhage rash. On admission, lung examination has no rales. The eosinophil count in wac was always higher than normal, and ranged from 11.4 percent to 27 percent. The patient was treated by antibiotics, but the high fever did not ameliorate. The patient was checked for a parasite in all samples of blood, urine and stool. Finally, he was diagnosed positive with Strongyloide stercoralis. He was then treated with Albendazole and his condition improved. The recommendation for for parasitic disease when patients have an eosinophil count that is higher than normal and show no improvement with antibiotics.