‘Clinical exacerbation of an overlooked tropical pulmonary eosinophilia after deworming’

Author:

Calin Ruxandra1,Lampros Alexandre1,Canestri Ana1,Barral Matthias2,Schmidt Matthieu3,Mesnard Laurent4,Paris Luc5,Hennequin Christophe6,Jauréguiberry Stéphane78

Affiliation:

1. Infectious Diseases Department, Tenon Hospital, Sorbonne University , AP-HP, 4 rue de la Chine, 75020 Paris , France

2. Radiology Department, Tenon Hospital, Sorbonne University , AP-HP, 4 rue de la Chine, 75020 Paris , France

3. Intensive Care Department, Institute of Cardiology, Pitié-Salpêtrière Hospital, Sorbonne University , AP-HP, 47-83 Bd de l'Hôpital, 75013 Paris , France

4. Nephrology and Acute Kidney Intensive Care Department, Tenon Hospital, Sorbonne University , AP-HP, 4 rue de la Chine, 75020 Paris , France

5. Parasitology Department, Pitié-Salpêtrière Hospital, Sorbonne University , AP-HP, 47-83 Bd de l'Hôpital, 75013 Paris , France

6. Parasitology-Mycology Department, INSERM, Saint-Antoine Research Center - CRSAAP-HP, Saint-Antoine Hospital, Sorbonne University , 184 Rue du Faubourg Saint-Antoine, 75012 Paris , France

7. Infectious Diseases Department, Bicêtre Hospital, Paris-Saclay University, AP-HP , AP-HP, 78 Rue du Général Leclerc, 94270 Le Kremlin-Bicêtre , France

8. French Society of Travel Medicine , 79 rue Tocqueville, 75017 Paris , France

Abstract

Eosinophilia with nonspecific symptoms, which may be overlooked, is a common finding in migrants and may lead to the administration of non-targeted antihelmintic treatment. This practice can have dangerous consequences as illustrated by a patient who developed acute tropical pulmonary eosinophilia and severe secondary myocarditis after administration of ivermectin and albendazole.

Publisher

Oxford University Press (OUP)

Subject

General Medicine

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