Unusual infectious causes of pulmonary eosinophilia

By Dr Sumit Mehra, Respiratory and Sleep Physician, Dr Alice Culliford, Respiratory Registrar and Dr Mabel Gaastra Medical Registrar, Joondalup

There is a wide differential for acute eosinophilia in association with respiratory symptoms, most commonly asthma, vasculitis and eosinophilic pneumonias.

However unusual infectious causes, particularly parasites, should be considered, especially where a relevant history of travel is present.

Interestingly, Type 2 inflammation, involving eosinophils and driving conditions such as asthma, eczema, chronic rhinosinusitis, eosinophilic esophagitis and food allergies, originally evolved to combat parasitic worms....

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