Tuberc Respir Dis.  1998 Jun;45(3):643-648. 10.4046/trd.1998.45.3.643.

A Case of Clonorchiasis with Clinical Presentation of Eosinophilic Pneumonia

Affiliations
  • 1Department of Internal Medicine, Dong Kang General Hospital, Ulsan, Korea.

Abstract

Although clonorchiasis is one of the most common parasitic infections in Korea, it is unusual that the disease presents peripheral eosinophilia and pulmonary infiltrations.( eosinophilic pneumonia) A case of clonorchiasis manifested as diffuse nodular pulmonary infiltrations was presented. The patient had a mild to moderate pain on the right upper quadrant of the abdomen, cough, dyspnea, and unknown cause of marked eosinophilia (up to 71.4% of total white blood cell count). The causal organism, clonorchis sinensis was found by the identification of parasite ova in the stooL We confirmed eosinophuic pneumonia with bronchoalveolar larvage analysis and transbronchial lung biopsy. With corticosteroid and praziquantel treatment, clinical symtoms and pulmonary infiltrations on the chest roentgenograms had rapidly improved. We report a case of eosinophilic pneumonia related to clonorchiasis and review the pertinent literature.

Keyword

Eosinophilia; Eosinophilic pneumonia; Clonorchiasis

MeSH Terms

Abdomen
Biopsy
Clonorchiasis*
Clonorchis sinensis
Cough
Dyspnea
Eosinophilia
Eosinophils*
Humans
Korea
Leukocytes
Lung
Ovum
Parasites
Pneumonia
Praziquantel
Pulmonary Eosinophilia*
Thorax
Praziquantel
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