BACKGROUND Cutaneous myiasis is frequently observed;however,eosinophilic pleural effusion induced by this condition is rare.CASE SUMMARY We report the case of a 65-year-old female Tibetan patient from Qinghai Province...BACKGROUND Cutaneous myiasis is frequently observed;however,eosinophilic pleural effusion induced by this condition is rare.CASE SUMMARY We report the case of a 65-year-old female Tibetan patient from Qinghai Province,who presented to West China Hospital of Sichuan University around mid-November 2011 with a chief complaint of recurrent cough,occasional hemoptysis,and right chest pain.There was no past medical and surgical history of note,except for occasional dietary habit of eating raw meat.Clinical examination revealed a left lung collapse and diminished breathing sounds in her left lung,with moist rales heard in both lungs.Chest X-rays demonstrated a left hydropneumothorax and a right lung infection.Chest computed tomography revealed a left hydropneumothorax with partial compressive atelectasis and patchy consolidation on the right lung.Laboratory data revealed peripheral blood eosinophilia of 37.2%,with a white blood cell count of 10.4×109/L.Serum immunoglobulin E levels were elevated(1650 unit/mL).Serum parasite antibodies were negative except for cysticercosis immunoglobulin G.Bone marrow aspirates were hypercellular,with a marked increase in the number of mature eosinophils and eosinophilic myelocytes.An ultrasound-guided left-sided thoracentesis produced a yellow-cloudy exudative fluid.Failure to respond to antibiotic treatment during hospitalization for her symptoms and persistent blood eosinophilia led the team to start oral albendazole(400 mg/d)for presumed parasitic infestation for three consecutive days after the ninth day of hospitalization.Intermittent migratory stabbing pain and swelling sensation on both her upper arms and shoulders were reported;tender nodules and worm-like live organisms were observed in the responding sites 1 wk later.After the removal of the live organisms,they were subsequently identified as first stage hypodermal larvae by the Sichuan Institute of Parasites.The patient’s symptoms were relieved soon afterwards.Telephonic follow-up 1 mo later indicated that the blood eosin展开更多
基金Supported by Key Project of Science and Technology Agency of Sichuan Province,China,No.2020YFS0149.
文摘BACKGROUND Cutaneous myiasis is frequently observed;however,eosinophilic pleural effusion induced by this condition is rare.CASE SUMMARY We report the case of a 65-year-old female Tibetan patient from Qinghai Province,who presented to West China Hospital of Sichuan University around mid-November 2011 with a chief complaint of recurrent cough,occasional hemoptysis,and right chest pain.There was no past medical and surgical history of note,except for occasional dietary habit of eating raw meat.Clinical examination revealed a left lung collapse and diminished breathing sounds in her left lung,with moist rales heard in both lungs.Chest X-rays demonstrated a left hydropneumothorax and a right lung infection.Chest computed tomography revealed a left hydropneumothorax with partial compressive atelectasis and patchy consolidation on the right lung.Laboratory data revealed peripheral blood eosinophilia of 37.2%,with a white blood cell count of 10.4×109/L.Serum immunoglobulin E levels were elevated(1650 unit/mL).Serum parasite antibodies were negative except for cysticercosis immunoglobulin G.Bone marrow aspirates were hypercellular,with a marked increase in the number of mature eosinophils and eosinophilic myelocytes.An ultrasound-guided left-sided thoracentesis produced a yellow-cloudy exudative fluid.Failure to respond to antibiotic treatment during hospitalization for her symptoms and persistent blood eosinophilia led the team to start oral albendazole(400 mg/d)for presumed parasitic infestation for three consecutive days after the ninth day of hospitalization.Intermittent migratory stabbing pain and swelling sensation on both her upper arms and shoulders were reported;tender nodules and worm-like live organisms were observed in the responding sites 1 wk later.After the removal of the live organisms,they were subsequently identified as first stage hypodermal larvae by the Sichuan Institute of Parasites.The patient’s symptoms were relieved soon afterwards.Telephonic follow-up 1 mo later indicated that the blood eosin
