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Cutaneous myiasis with eosinophilic pleural effusion:A case report

World Journal of Clinical Cases 2021年第18期9卷 4803-4809页

作者： Tao Fan Yu Zhang Yan Lv Jing Chang Brent A Bauer Juan Yang Cheng-Wei Wang Department of Integrated Traditional Chinese and Western Medicine West China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina Department of Respiratory and Critical Care Medicine Chengdu Integrated Traditi Department of General Internal Medicine Mayo ClinicRochesterMN 55905United States

BACKGROUND Cutaneous myiasis is frequently observed;however,eosinophilic pleural effusion induced by this condition is *** SUMMARY We report the case of a 65-year-old female Tibetan patient from Qinghai Province,who presented to West China Hospital of Sichuan University around mid-November 2011 with a chief complaint of recurrent cough,occasional hemoptysis,and right chest *** was no past medical and surgical history of note,except for occasional dietary habit of eating raw *** examination revealed a left lung collapse and diminished breathing sounds in her left lung,with moist rales heard in both *** X-rays demonstrated a left hydropneumothorax and a right lung *** computed tomography revealed a left hydropneumothorax with partial compressive atelectasis and patchy consolidation on the right *** data revealed peripheral blood eosinophilia of 37.2%,with a white blood cell count of 10.4×109/*** immunoglobulin E levels were elevated(1650 unit/mL).Serum parasite antibodies were negative except for cysticercosis immunoglobulin *** marrow aspirates were hypercellular,with a marked increase in the number of mature eosinophils and eosinophilic *** ultrasound-guided left-sided thoracentesis produced a yellow-cloudy exudative *** to respond to antibiotic treatment during hospitalization for her symptoms and persistent blood eosinophilia led the team to start oral albendazole(400 mg/d)for presumed parasitic infestation for three consecutive days after the ninth day of *** migratory stabbing pain and swelling sensation on both her upper arms and shoulders were reported;tender nodules and worm-like live organisms were observed in the responding sites 1 wk *** the removal of the live organisms,they were subsequently identified as first stage hypodermal larvae by the Sichuan Institute of *** patient’s symptoms were relieved soon *** follow

关键词： Cutaneous myiasis Eosinophilic pleural effusion hypoderma larvae Albendazole Case report

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