Bronchodilator Reversibility Occurring during the Acute Phase of Paragonimiasis westermani Infection

Autor: Kosuke Yamaguchi, Eiji Shimizu, Tomoya Harada, Akira Yamasaki, Yuji Kawasaki, Hiroki Takami, Jun Kurai, Yoichi Osawa, Akira Tsukada
Rok vydání: 2019
Předmět:
Zdroj: Internal Medicine. 58:297-300
ISSN: 1349-7235
0918-2918
DOI: 10.2169/internalmedicine.0401-17
Popis: A 43-year-old woman was referred to our hospital with peripheral blood hypereosinophilia and abnormal chest X-ray findings. Her pleural effusion revealed hypereosinophilia and a low glucose level. She was diagnosed with pulmonary paragonimiasis based on an elevated antibody level of Paragonimiasis westermani. Although she had no medical history of allergic disorders, a pulmonary function test revealed bronchodilator reversibility. After praziquantel therapy, her symptoms, hypereosinophilia in peripheral blood, and pleural effusion were improved. A repeated pulmonary function test after praziquantel therapy showed a negative bronchodilator response. Pulmonary paragonimiasis may induce bronchodilator reversibility during the acute phase of infection.
Databáze: OpenAIRE