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Eosinophilic Odyssey: A Case Report on Tropical Pulmonary Eosinophilia

Shakti Shishodia, Pallavi Sehgal, Dheeraj B Nair, Abhishek Snehy

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Indian Journal of Communicable Diseases 10(1):p 19-20, January - June 2024. | DOI: https://doi.org/10.21088/ijcd.2395.6631.10124.3

How Cite This Article:

Shishodia S, Sehgal P, Nair DB, et al. Eosinophilic Odyssey: A Case Report on Tropical Pulmonary Eosinophilia. Indian J Community Dis. 2024;10(1):19-20.

Timeline

Received : December 07, 2023         Accepted : February 01, 2024          Published : June 28, 2024

Abstract

Tropical pulmonary eosinophilia (TPE) is a rare condition associated with helminthic infections, particularly wuchereria bancrofti, causing lymphatic filariasis. We present a case of TPE in a 27-year-old male who presented to the emergency department with fever, cough, and progressive dyspnea. The patient exhibited high total leukocyte count with eosinophil predominance, diffuse centrilobular nodules with ground-glass opacities on thoracic computed to mography (CT), and hepatomegaly with grade I fatty liver on abdominal ultrasound. The final diagnosis of TPE was confirmed by positive filarial antibody IgG and elevated total IgE levels. The patient responded well to a comprehensive treatment approach involving broad-spectrum antibiotics, antivirals, anti-parasitics, steroids, bronchodilators, oxygen supplementation, and supportive care. This case emphasizes the importance of considering TPE in patients with respiratory symptoms and eosinophilia and provides insights into the diagnostic workup, management, and current literature on this condition.


References

  • 1.   Nutman, T.B. (2018). Tropical pulmonary eosinophilia. In Manson's Tropical Diseases (23rded.,pp.758-760). Elsevier.
  • 2.   Weerasuriya, N., & Rana Singh e, S.(2020). Tropical pulmonary eosinophilia. Respiratory Medicine CME, 13,101647.
  • 3.   Garg, S., Jain, S., Tyagi, N., & Gaur, A. (2017). Tropical pulmonary eosinophilia: A case report. Indian Journal of Medical Specialities, 8(3),163-165.
  • 4.   World Health Organization. (2018). Guideline: Alternative Mass Drug Administration Regimens to Eliminate Lymphatic Filariasis. Geneva: World Health Organization.
  • 5.   Mishra, A. K., Biswal, S., Hati, A. K., Patnaik, B., & Nanda, P. (2016). Tropical pulmonary eosinophilia: A case report and review of literature. Indian Journal of Medical Case Reports,5(1),1-5.

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There are no additional data available.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

Information not provide.

Conflicts of Interest

The authors report no conflicts of interest in this work.


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Cite this article

Shishodia S, Sehgal P, Nair DB, et al. Eosinophilic Odyssey: A Case Report on Tropical Pulmonary Eosinophilia. Indian J Community Dis. 2024;10(1):19-20.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
December 07, 2023 February 01, 2024 June 28, 2024

DOI: https://doi.org/10.21088/ijcd.2395.6631.10124.3

Keywords

Respiratory symptomsEmphasizesBronchodilatorsOxygen supplementationSupportive care

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Received December 07, 2023
Accepted February 01, 2024
Published June 28, 2024

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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