Bronchodilator Reversibility Occurring during the Acute Phase of Paragonimiasis westermani Infection

Internal Medicine
Tomoya HaradaEiji Shimizu

Abstract

A 43-year-old woman was referred to our hospital with peripheral blood hypereosinophilia and abnormal chest X-ray findings. Her pleural effusion revealed hypereosinophilia and a low glucose level. She was diagnosed with pulmonary paragonimiasis based on an elevated antibody level of Paragonimiasis westermani. Although she had no medical history of allergic disorders, a pulmonary function test revealed bronchodilator reversibility. After praziquantel therapy, her symptoms, hypereosinophilia in peripheral blood, and pleural effusion were improved. A repeated pulmonary function test after praziquantel therapy showed a negative bronchodilator response. Pulmonary paragonimiasis may induce bronchodilator reversibility during the acute phase of infection.

References

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Methods Mentioned

BETA
X-ray
enzyme-linked immunosorbent assay
bronchoalveolar
lavage
ELISA

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