[When eosinophilia is not only a marker of asthma …].

Autor: Hamdi J; Service de Pneumologie, CHU Liège, Belgique., Heinen V; Service de Pneumologie, CHU Liège, Belgique., Fiévet F; Service de Pneumologie, CHC Liège, Belgique., El Moussaoui M; Service des Maladies infectieuses et de Médecine interne générale, CHU Liège, Belgique., Louis R; Service de Pneumologie, CHU Liège, Belgique., Schleich F; Service de Pneumologie, CHU Liège, Belgique.
Jazyk: francouzština
Zdroj: Revue medicale de Liege [Rev Med Liege] 2024 Apr; Vol. 79 (4), pp. 208-214.
Abstrakt: We report the case of a patient who has been hospitalized for dyspnea. Investigations revealed airway obstruction, eosinophilia, elevated IgE and elevated exhaled nitric oxide. Patient improved with oral corticosteroids (OCS). However, the patient presented two exacerbations requiring OCS during the next twelve months. Chest CT scan revealed two multiloculated parenchymal lesions. Lab test was positive for Echinococcus and Western-Blot confirmed infection with Echinococcus granulosus. Bronchoalveolar lavage confirmed the presence of 6 % eosinophils. Echinococcus granulosis is a zoonotic larval infection caused by a tapeworm larva. Patients with this disease may be asymptomatic for years. Early identification and management, in a multidisciplinary team, are essential and rely mainly on surgical intervention and antiparasitic treatments. This article presents the case of a young patient with pulmonary echinococcosis.
Databáze: MEDLINE