When eosinophilia is not only a marker of asthma …

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.

Medienart:

Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:79

Enthalten in:

Revue medicale de Liege - 79(2024), 4 vom: 11. Apr., Seite 208-214

Sprache:

Französisch

Weiterer Titel:

Cas clinique. Quand l’éosinophilie n’est pas qu’un marqueur d’asthme

Beteiligte Personen:

Hamdi, Jalal [VerfasserIn]
Heinen, Vincent [VerfasserIn]
Fiévet, Frédéric [VerfasserIn]
El Moussaoui, Majdouline [VerfasserIn]
Louis, Renaud [VerfasserIn]
Schleich, Florence [VerfasserIn]

Themen:

Asthma
Case Reports
Cystic lesions
Echinococcus
English Abstract
Eosinophilia

Anmerkungen:

Date Completed 12.04.2024

Date Revised 12.04.2024

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370915372