Tropical eosinophilia in a man from Sri Lanka
A 21-year-old man from Sri Lanka came to Japan in August 1992 and worked as a painter. He had often complained of dyspnea on exertion before coming to Japan. He was admitted to Ogaki Municipal Hospital in June 1993 for further examination of persistent coughing, dyspnea, and fever. A chest X-ray fil...
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Veröffentlicht in: | Nihon Kyōbu Shikkan Gakkai zasshi 1996-12, Vol.34 (12), p.1411-1415 |
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description | A 21-year-old man from Sri Lanka came to Japan in August 1992 and worked as a painter. He had often complained of dyspnea on exertion before coming to Japan. He was admitted to Ogaki Municipal Hospital in June 1993 for further examination of persistent coughing, dyspnea, and fever. A chest X-ray film showed bilateral diffuse reticulonodular shadows. Blood examinations revealed marked eosinophilia (9440/mm3) with elevation of the serum IgE level (4982 IU/ml). IgG enzyme-linked immunosorbent assay showed a high titer against Dirofilaria immitis. Microfilaria were not detected in blood sampled at night. He was given a diagnosis of tropical eosinophilia. We could not give diethyl-carbamazine. Filariasis is seldom encountered in Japan, but we emphasize that parasitic disease such as tropical eosinophilia must be considered in the differential diagnosis if the patient is from a tropical area where filariasis is common. |
doi_str_mv | 10.11389/jjrs1963.34.1411 |
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He had often complained of dyspnea on exertion before coming to Japan. He was admitted to Ogaki Municipal Hospital in June 1993 for further examination of persistent coughing, dyspnea, and fever. A chest X-ray film showed bilateral diffuse reticulonodular shadows. Blood examinations revealed marked eosinophilia (9440/mm3) with elevation of the serum IgE level (4982 IU/ml). IgG enzyme-linked immunosorbent assay showed a high titer against Dirofilaria immitis. Microfilaria were not detected in blood sampled at night. He was given a diagnosis of tropical eosinophilia. We could not give diethyl-carbamazine. 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He had often complained of dyspnea on exertion before coming to Japan. He was admitted to Ogaki Municipal Hospital in June 1993 for further examination of persistent coughing, dyspnea, and fever. A chest X-ray film showed bilateral diffuse reticulonodular shadows. Blood examinations revealed marked eosinophilia (9440/mm3) with elevation of the serum IgE level (4982 IU/ml). IgG enzyme-linked immunosorbent assay showed a high titer against Dirofilaria immitis. Microfilaria were not detected in blood sampled at night. He was given a diagnosis of tropical eosinophilia. We could not give diethyl-carbamazine. Filariasis is seldom encountered in Japan, but we emphasize that parasitic disease such as tropical eosinophilia must be considered in the differential diagnosis if the patient is from a tropical area where filariasis is common.</description><subject>Adult</subject><subject>Animals</subject><subject>Antibodies, Helminth - blood</subject><subject>Diagnosis, Differential</subject><subject>Dirofilaria immitis - immunology</subject><subject>Dirofilariasis - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Pulmonary Eosinophilia - diagnosis</subject><subject>Pulmonary Eosinophilia - etiology</subject><subject>Sri Lanka</subject><issn>0301-1542</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotj71OwzAURj2ASlX6AAxIntgS7vV1nHhEFVCkSAyUOXIcRzjkD7sZeHsqkeks53zSx9gdQopIhX7suhBRK0pJpigRr9gWCDDBTIobto_R1wCgJZAQG7bRIAQRbFlyCtPsrem5m6Ifp_nL995wP3LDBzPyNkwD_wiel2b8NrfsujV9dPuVO_b58nw6HJPy_fXt8FQmnZDinEirJJKWknKLClFmVluBKJpMa1Q5SLBK1FRrcEqpQuYCWqXbtqlNo4hoxx7-d-cw_SwunqvBR-v63oxuWmKVF-qSKHER71dxqQfXVHPwgwm_1fqP_gAFCE5s</recordid><startdate>199612</startdate><enddate>199612</enddate><creator>Hayashi, K</creator><creator>Horiba, M</creator><creator>Shindou, J</creator><creator>Sumida, T</creator><creator>Takekoshi, A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199612</creationdate><title>Tropical eosinophilia in a man from Sri Lanka</title><author>Hayashi, K ; Horiba, M ; Shindou, J ; Sumida, T ; Takekoshi, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j242t-4c641394437c161145c9c2112d599167040c62b3b90e66684720f69ffdbad6333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Animals</topic><topic>Antibodies, Helminth - blood</topic><topic>Diagnosis, Differential</topic><topic>Dirofilaria immitis - immunology</topic><topic>Dirofilariasis - diagnosis</topic><topic>Humans</topic><topic>Male</topic><topic>Pulmonary Eosinophilia - diagnosis</topic><topic>Pulmonary Eosinophilia - etiology</topic><topic>Sri Lanka</topic><toplevel>online_resources</toplevel><creatorcontrib>Hayashi, K</creatorcontrib><creatorcontrib>Horiba, M</creatorcontrib><creatorcontrib>Shindou, J</creatorcontrib><creatorcontrib>Sumida, T</creatorcontrib><creatorcontrib>Takekoshi, A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Nihon Kyōbu Shikkan Gakkai zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayashi, K</au><au>Horiba, M</au><au>Shindou, J</au><au>Sumida, T</au><au>Takekoshi, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tropical eosinophilia in a man from Sri Lanka</atitle><jtitle>Nihon Kyōbu Shikkan Gakkai zasshi</jtitle><addtitle>Nihon Kyobu Shikkan Gakkai Zasshi</addtitle><date>1996-12</date><risdate>1996</risdate><volume>34</volume><issue>12</issue><spage>1411</spage><epage>1415</epage><pages>1411-1415</pages><issn>0301-1542</issn><abstract>A 21-year-old man from Sri Lanka came to Japan in August 1992 and worked as a painter. 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subjects | Adult Animals Antibodies, Helminth - blood Diagnosis, Differential Dirofilaria immitis - immunology Dirofilariasis - diagnosis Humans Male Pulmonary Eosinophilia - diagnosis Pulmonary Eosinophilia - etiology Sri Lanka |
title | Tropical eosinophilia in a man from Sri Lanka |
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