Simple pulmonary eosinophilia (Loeffler's syndrome)

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Lungs Respiratory system

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Simple pulmonary eosinophilia (Loeffler's syndrome)

• General ill feeling (malaise)
• Fever
• Dry cough
• Chest pain
• Shortness of breath
• Wheezing
• Rapid respiratory rate
• Rash

• Listening to the chest with a stethoscope may reveal rales(crackle-like sounds that suggest inflammation of the lung tissue).
• A bronchoscopy with washing may show a large number of eosinophils.
• Sputum, bronchoscopically obtained washing, and gastric lavage may reveal larvae of the ascaris worm.
• A CBC or WBC count shows increased white blood cells, particularly eosinophils.
• Chest X-ray usually reveals abnormal shadows (infiltrates) that disappear with time, or may reappear in different areas of the lung.

Murray JF, Nadel JA. Eosinophilic Lung Diseases. In: Textbook of Respiratory Medicine. 3rd ed. W. B. Saunders Company, 2000; 1761-1771.

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