Pulmonary Tropical Eosinophilia

Wheezing associated with human filariasis (Wuchereria bancrofti and Brugia malayi)

Clinical: Short history of cough, wheezing

 

Investigations

Chest x-ray

–       hilar adenopathy

–       diffused alveolar mottling with nodules in middle/lower zones

–       sometimes pleural effusion

CBC

–       high levels of eosinophils

Differential Diagnosis

– Migrating helminthes (Ascaris, Strongyloides stercoralis, hookworm)

 

Treatment

–       DEC

–       Albendazole

 

Prevention

– Control of Aedes mosquito breeding sites