title: [Tropical eosinophilia in a man from Sri Lanka].
abstract: A 21-year-old man from Sri Lanka came to Japan in August 1992 and worked as a painter. He had often complained of dyspnea on exertion before coming to Japan. He was admitted to Ogaki Municipal Hospital in June 1993 for further examination of persistent coughing, dyspnea, and fever. A chest X-ray film showed bilateral diffuse reticulonodular shadows. Blood examinations revealed marked eosinophilia (9440/mm3) with elevation of the serum IgE level (4982 IU/ml). IgG enzyme-linked immunosorbent assay showed a high titer against Dirofilaria immitis. Microfilaria were not detected in blood sampled at night. He was given a diagnosis of tropical eosinophilia. We could not give diethyl-carbamazine. Filariasis is seldom encountered in Japan, but we emphasize that parasitic disease such as tropical eosinophilia must be considered in the differential diagnosis if the patient is from a tropical area where filariasis is common.
authors.affiliation: Department of Pneumonology, Ogaki Municipal Hospital, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Hayashi
authors.forename: M
authors.initials: M
authors.lastname: Horiba
authors.forename: J
authors.initials: J
authors.lastname: Shindou
authors.forename: T
authors.initials: T
authors.lastname: Sumida
authors.forename: A
authors.initials: A
authors.lastname: Takekoshi
mesh_terms: D000328:Adult; D000818:Animals; D000909:Antibodies, Helminth / Q000097:blood; D003937:Diagnosis, Differential; D004183:Dirofilaria immitis / Q000276:immunology; D004184:Dirofilariasis / Q000175:diagnosis; D006801:Humans; D008297:Male; D011657:Pulmonary Eosinophilia / Q000175:diagnosis* / Q000209:etiology; D013188:Sri Lanka
chemical_list: D000909:Antibodies, Helminth