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Title: Pulmonary Infiltrates and Eosinophilia in a 25-Year-Old Traveler
Author: Muñoz Gutiérrez, José
Aldasoro, Edelweiss
Pinazo, Maria-Jesus
Arguis, Pedro
Gascón i Brustenga, Joaquim
Keywords: Eosinofília
Issue Date: 13-Jun-2013
Publisher: Public Library of Science (PLoS)
Abstract: A 25-year-old Spanish male travelled to Senegal in September 2009, where he swam near the Dindefelo fresh-water falls. Five weeks later, he presented with fever, myalgia, and dry cough. His complete blood count showed a hemoglobin level of 157 g/L, platelet count of 123.000 platelets/µL, and a leukocyte count of 8.670 cells/µL, with 9% eosinophils. Malaria smear, blood cultures, and serologies for common viral and bacterial infections were negative. Titers of an indirect hemagglutination test for Schistosoma mansoni were 1∶80. The patient was treated with a single dose of praziquantel (40 mg/kg) and prednisone (30 mg) for three days. After treatment, the dry cough increased and he developed moderate dyspnea, with increasing malaise and myalgia. A second blood sample revealed eosinophilia of 1.200 cells/µL. A chest X-ray showed patchy infiltrates in both lungs (Figure 1), and a CT scan showed multiple peripheral bilateral pseudonodular lesions with surrounding ground-glass-opacity halo.
Note: Reproducció del document publicat a:
It is part of: PLoS Neglected Tropical Diseases, 2013, vol. 7, num. 6, p. e2201
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ISSN: 1935-2735
Appears in Collections:Articles publicats en revistes (Medicina)

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