A case of tropical eosinophilia associated with pleural effusion

Y. Oyamada, O. Funae, Y. Kamegaya, Kenzo Soejima, H. Nakamura, S. Mori, K. Yamaguchi, M. Kanazawa, E. Okusawa, F. Yamasawa

Research output: Contribution to journalArticle

Abstract

A 52-year-old man was admitted to Keio University Hospital for determination of the etiology of a bilateral pleural effusion associated with marked eosinophilia (10200 cells/mm3). He had been in Vietnam for three years and had returned to Japan in May 1993. He was suffering from tropical eosinophilia, as clearly indicated by eosinophilia, elevation of serum IgE level (708 IU/ml), the presence of anti-dirofilarial antibodies, and the absence of microfilaria in the blood. The pleural effusion was an exudate and 51% of the cells in the effusion were eosinophils. In the effusion, no parasites were detected but anti-dirofilarial antibodies were found (the titer was as high as that in the serum). Diethylcarbamazine was given, and a steroid had to be superimposed because of wheezing. These treatments successfully reduced the bronchoconstriction, eosinophilia and accumulation of pleural effusion. Tropical eosinophilia has generally been thought not to be associated with pleural effusion. This is only the third case report of tropical eosinophilia with authentic pleural effusion.

Original languageEnglish
Pages (from-to)451-455
Number of pages5
JournalJapanese Journal of Thoracic Diseases
Volume33
Issue number4
Publication statusPublished - 1995

Fingerprint

Eosinophilia
Pleural Effusion
Anti-Idiotypic Antibodies
Diethylcarbamazine
Microfilariae
Bronchoconstriction
Vietnam
Respiratory Sounds
Exudates and Transudates
Serum
Eosinophils
Immunoglobulin E
Japan
Parasites
Steroids

Keywords

  • Diethylcarbamazine
  • Filariasis
  • Pleural Effusion
  • Steroid
  • Tropical Eosinophilia

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Oyamada, Y., Funae, O., Kamegaya, Y., Soejima, K., Nakamura, H., Mori, S., ... Yamasawa, F. (1995). A case of tropical eosinophilia associated with pleural effusion. Japanese Journal of Thoracic Diseases, 33(4), 451-455.

A case of tropical eosinophilia associated with pleural effusion. / Oyamada, Y.; Funae, O.; Kamegaya, Y.; Soejima, Kenzo; Nakamura, H.; Mori, S.; Yamaguchi, K.; Kanazawa, M.; Okusawa, E.; Yamasawa, F.

In: Japanese Journal of Thoracic Diseases, Vol. 33, No. 4, 1995, p. 451-455.

Research output: Contribution to journalArticle

Oyamada, Y, Funae, O, Kamegaya, Y, Soejima, K, Nakamura, H, Mori, S, Yamaguchi, K, Kanazawa, M, Okusawa, E & Yamasawa, F 1995, 'A case of tropical eosinophilia associated with pleural effusion', Japanese Journal of Thoracic Diseases, vol. 33, no. 4, pp. 451-455.
Oyamada Y, Funae O, Kamegaya Y, Soejima K, Nakamura H, Mori S et al. A case of tropical eosinophilia associated with pleural effusion. Japanese Journal of Thoracic Diseases. 1995;33(4):451-455.
Oyamada, Y. ; Funae, O. ; Kamegaya, Y. ; Soejima, Kenzo ; Nakamura, H. ; Mori, S. ; Yamaguchi, K. ; Kanazawa, M. ; Okusawa, E. ; Yamasawa, F. / A case of tropical eosinophilia associated with pleural effusion. In: Japanese Journal of Thoracic Diseases. 1995 ; Vol. 33, No. 4. pp. 451-455.
@article{114143366d9d49b2b18a75a53a4c3fe0,
title = "A case of tropical eosinophilia associated with pleural effusion",
abstract = "A 52-year-old man was admitted to Keio University Hospital for determination of the etiology of a bilateral pleural effusion associated with marked eosinophilia (10200 cells/mm3). He had been in Vietnam for three years and had returned to Japan in May 1993. He was suffering from tropical eosinophilia, as clearly indicated by eosinophilia, elevation of serum IgE level (708 IU/ml), the presence of anti-dirofilarial antibodies, and the absence of microfilaria in the blood. The pleural effusion was an exudate and 51{\%} of the cells in the effusion were eosinophils. In the effusion, no parasites were detected but anti-dirofilarial antibodies were found (the titer was as high as that in the serum). Diethylcarbamazine was given, and a steroid had to be superimposed because of wheezing. These treatments successfully reduced the bronchoconstriction, eosinophilia and accumulation of pleural effusion. Tropical eosinophilia has generally been thought not to be associated with pleural effusion. This is only the third case report of tropical eosinophilia with authentic pleural effusion.",
keywords = "Diethylcarbamazine, Filariasis, Pleural Effusion, Steroid, Tropical Eosinophilia",
author = "Y. Oyamada and O. Funae and Y. Kamegaya and Kenzo Soejima and H. Nakamura and S. Mori and K. Yamaguchi and M. Kanazawa and E. Okusawa and F. Yamasawa",
year = "1995",
language = "English",
volume = "33",
pages = "451--455",
journal = "Respiratory Investigation",
issn = "2212-5345",
publisher = "Elsevier BV",
number = "4",

}

TY - JOUR

T1 - A case of tropical eosinophilia associated with pleural effusion

AU - Oyamada, Y.

AU - Funae, O.

AU - Kamegaya, Y.

AU - Soejima, Kenzo

AU - Nakamura, H.

AU - Mori, S.

AU - Yamaguchi, K.

AU - Kanazawa, M.

AU - Okusawa, E.

AU - Yamasawa, F.

PY - 1995

Y1 - 1995

N2 - A 52-year-old man was admitted to Keio University Hospital for determination of the etiology of a bilateral pleural effusion associated with marked eosinophilia (10200 cells/mm3). He had been in Vietnam for three years and had returned to Japan in May 1993. He was suffering from tropical eosinophilia, as clearly indicated by eosinophilia, elevation of serum IgE level (708 IU/ml), the presence of anti-dirofilarial antibodies, and the absence of microfilaria in the blood. The pleural effusion was an exudate and 51% of the cells in the effusion were eosinophils. In the effusion, no parasites were detected but anti-dirofilarial antibodies were found (the titer was as high as that in the serum). Diethylcarbamazine was given, and a steroid had to be superimposed because of wheezing. These treatments successfully reduced the bronchoconstriction, eosinophilia and accumulation of pleural effusion. Tropical eosinophilia has generally been thought not to be associated with pleural effusion. This is only the third case report of tropical eosinophilia with authentic pleural effusion.

AB - A 52-year-old man was admitted to Keio University Hospital for determination of the etiology of a bilateral pleural effusion associated with marked eosinophilia (10200 cells/mm3). He had been in Vietnam for three years and had returned to Japan in May 1993. He was suffering from tropical eosinophilia, as clearly indicated by eosinophilia, elevation of serum IgE level (708 IU/ml), the presence of anti-dirofilarial antibodies, and the absence of microfilaria in the blood. The pleural effusion was an exudate and 51% of the cells in the effusion were eosinophils. In the effusion, no parasites were detected but anti-dirofilarial antibodies were found (the titer was as high as that in the serum). Diethylcarbamazine was given, and a steroid had to be superimposed because of wheezing. These treatments successfully reduced the bronchoconstriction, eosinophilia and accumulation of pleural effusion. Tropical eosinophilia has generally been thought not to be associated with pleural effusion. This is only the third case report of tropical eosinophilia with authentic pleural effusion.

KW - Diethylcarbamazine

KW - Filariasis

KW - Pleural Effusion

KW - Steroid

KW - Tropical Eosinophilia

UR - http://www.scopus.com/inward/record.url?scp=0029064697&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029064697&partnerID=8YFLogxK

M3 - Article

C2 - 7791276

AN - SCOPUS:0029064697

VL - 33

SP - 451

EP - 455

JO - Respiratory Investigation

JF - Respiratory Investigation

SN - 2212-5345

IS - 4

ER -