[Case report: Löffler's syndrome due to Ascaris lumbricoides mimicking acute bacterial community--acquired pneumonia].

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  • Additional Information
    • Transliterated Title:
      Olgu sunumu: akut bakteriyel toplum kökenli pnömoni kliniğini taklit eden Ascaris lumbricoides'e bağli bir Löffler's sendromu.
    • Source:
      Publisher: Galenos Publishing House Country of Publication: Turkey NLM ID: 9425544 Publication Model: Print Cited Medium: Print ISSN: 1300-6320 (Print) Linking ISSN: 13006320 NLM ISO Abbreviation: Turkiye Parazitol Derg Subsets: MEDLINE
    • Publication Information:
      Publication: [İstanbul] : Galenos Publishing House
      Original Publication: İzmir : Türkiye Parazitoloji Derneği
    • Subject Terms:
      Ascariasis/*diagnosis ; Ascaris lumbricoides/*isolation & purification ; Pulmonary Eosinophilia/*parasitology; Adult ; Albendazole/therapeutic use ; Animals ; Anthelmintics/therapeutic use ; Ascariasis/drug therapy ; Ascariasis/parasitology ; Community-Acquired Infections/diagnosis ; Community-Acquired Infections/drug therapy ; Community-Acquired Infections/parasitology ; Diagnosis, Differential ; Feces/parasitology ; Humans ; Male ; Parasite Egg Count ; Pneumonia, Bacterial/diagnosis ; Pulmonary Eosinophilia/diagnosis ; Pulmonary Eosinophilia/drug therapy ; Sputum/microbiology
    • Abstract:
      In this study we present a patient with Loeffler's syndrome caused by Ascaris lumbricoides who presented with the clinical findings of community-acquired pneumonia (CAP). Our patient, who was twenty-five years old, and who had had symptoms such as coughing, expectorating, dyspnea and fever for approximately ten days, was hospitalized. We auscultated polyphonic rhonchuses at the both hemithoraxes. A chest X-ray revealed bilateral lower zone patch consolidation. Acute bacterial community acquired pneumonia (CAP) was diagnosed due to these findings and empirical antibiotic treatment was begun. Repeated sputum Gram stains were negative, and both sputum and blood cultures were sterile. A sputum smear was negative for acid-fast bacilli. The patient's fever and respiratory complaint did not respond to the empirical antibiotics therapy. During the course of advanced investigations, we measured peripheric eosinophilia, and high levels of total Eo and total IgE, and observed Ascaris lumbricoides eggs during stool examination. The patient was given a diagnosis of Loeffler's syndrome. Thereupon the patient was treated successfully with one dose of albendazol 400 mg. In conclusion, we suggest that Loeffler's syndrome must be considered early in the differential diagnosis for CAP when peripheric eosinophilia is seen in patients if they live in an endemic area for parasitic disease.
    • Accession Number:
      0 (Anthelmintics)
      F4216019LN (Albendazole)
    • Publication Date:
      Date Created: 20091024 Date Completed: 20100914 Latest Revision: 20161021
    • Publication Date:
      20240829
    • Accession Number:
      19851973