title: Muscle pain, fever, cough, and progressive dyspnea in a woman with eosinophilic pneumonia.
abstract: The diagnosis of eosinophilic pneumonia (EP) is rare and challenging. This condition is frequently misdiagnosed as pulmonary tuberculosis, lymphoma, schistosomiasis, Wegener's granuloma, severe acute respiratory syndrome, or severe community-acquired pneumonia. Herein, we report a case in which computed tomography (CT)-guided percutaneous lung biopsy was used to diagnose EP without alveolar eosinophilia or peripheral eosinophilia. A roundworm identified in the patient's stool confirmed the precise diagnosis to be parasitic EP. This is, to our knowledge, the first reported case of EP confirmed by CT-guided percutaneous lung biopsy. CT-guided percutaneous lung biopsy may represent a new tool for the diagnosis of EP in patients without typical alveolar eosinophilia or peripheral eosinophilia.
authors.affiliation: Respiratory Disease Department, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
authors.forename: Z
authors.initials: Z
authors.lastname: Xu
authors.affiliation: Respiratory Disease Department, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
authors.forename: Y
authors.initials: Y
authors.lastname: Fan
authors.affiliation: Respiratory Disease Department, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
authors.forename: G S
authors.initials: GS
authors.lastname: Wang
authors.affiliation: Respiratory Disease Department, Xinqiao Hospital, Third Military Medical University, Chongqing, China guomingwucn@yeah.net.
authors.forename: G M
authors.initials: GM
authors.lastname: Wu
mesh_terms: D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D001196:Ascariasis / Q000175:diagnosis* / Q000188:drug therapy*; D017164:Ascaris lumbricoides / Q000187:drug effects; D003371:Cough; D004417:Dyspnea; D005243:Feces / Q000469:parasitology; D005260:Female; D005334:Fever; D006801:Humans; D061705:Image-Guided Biopsy / Q000379:methods*; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D063806:Myalgia; D011657:Pulmonary Eosinophilia / Q000175:diagnosis* / Q000000981:diagnostic imaging* / Q000469:parasitology; D014057:Tomography, X-Ray Computed
chemical_list: D000871:Anthelmintics; D015766:Albendazole; D008775:Methylprednisolone