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Eosinophilia, a marker of asymptomatic Strongyloides infection, in a young patient with extrapulmonary tuberculosis

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Title: Eosinophilia, a marker of asymptomatic Strongyloides infection, in a young patient with extrapulmonary tuberculosis
Authors: Yamanashi, Hirotomo / Kanbara, Sinsuke / Murase, Kunihiko / Maeda, Takahiro
Issue Date: 4-Jan-2018
Publisher: BMJ Publishing Group Ltd.
Citation: BMJ case reports, 2017-223208; 2018
Abstract: Strongyloides stercoralis infection is a common and neglected public health problem in many areas of the world. Here we report the case of a 21-year-old woman who emigrated from Cambodia to Japan and presented with swelling of the right supraclavicular region of 2 months' duration. She had no other symptoms. Tuberculous lymphadenitis was diagnosed based on a fine-needle aspiration biopsy of the right supraclavicular lymph node. The laboratory examination revealed mild eosinophilia (eosinophils 1348/µL).S. stercoralis and Hymenolepis nana were detected serologically and in faeces examination. This case demonstrates that clinicians should search for S. stercoralis infection in patients with tuberculosis who have epidemiological risk factors and/or laboratory signs of eosinophilia, even if other symptoms and signs of helminths infection are less obvious.
Keywords: TB and other respiratory infections / tropical medicine (infectious disease)
URI: http://hdl.handle.net/10069/38546
DOI: 10.1136/bcr-2017-223208
Rights: © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This article has been accepted for publication in BMJ case reports, 2018, following peer review, and the Version of Record can be accessed online at http://dx.doi.org/10.1136/bcr-2017-223208.
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/38546

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