Open AccessEosinophilic pleural effusion in an eleven-year-old boy
Author(s) -
Kiran Shakya,
Anup Shrestha,
Arabindra Yadav,
Uttara Gautam,
Rajesh Kumar Panday,
Mira Lamichhane
Publication year - 2021
Publication title -
journal of the kathmandu medical college
Language(s) - English
Resource type - Journals
eISSN - 2091-1793
pISSN - 2091-1785
DOI - 10.3126/jkmc.v10i2.40063
Subject(s) - medicine , parapneumonic effusion , pleural effusion , eosinophilia , eosinophilic , pleural disease , antibiotics , surgery , gastroenterology , pleural fluid , pathology , respiratory disease , lung , microbiology and biotechnology , biology
Pleural effusion fluid with ?10% eosinophils may be seen in 5-16% of exudative pleural effusions. Its association with helminthic infestation is reported in the literature. This patient with left-sided eosinophilic pleural effusion was a referred case from another hospital and treated initially as parapneumonic. With inadequate response to antibiotics and a markedly high IgE level praziquantel was started. This resulted in rapid disappearance of symptoms, decrease in the eosinophil count, and radiological improvement. After exclusion of parapneumonic, tuberculosis, autoimmune disease, and malignancy, a trial of antihelminthics should be considered an option. This may spare unnecessary investigations.