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A Case of Chronic Cough with Progressive Breathlessness in a 32 Year-old Male Health worker- Tuberculosis?, Allergic Bronchitis? Asthma?
Br J Med Med Res ; 2014 Dec; 4(35): 5513-5518
Article in English | IMSEAR | ID: sea-175749
ABSTRACT

Introduction:

Although tuberculosis is hyper-endemic in India and is responsible for a huge proportion of respiratory morbidity, adequate workup should be conducted to rule out other differential diagnosis wherever applicable. Case Report A 32 year old male health worker was suffering from productive cough and gradually increasing breathlessness since three months. The investigations conducted were a sputum analysis and a chest x-ray, both of which were normal and hence he was treated as a case of allergic bronchitis. Subject presented to us after three months with no relief. We further investigated him and found severe eosinophilia in the peripheral blood, a positive anti-filarial antibody and a negative triple stool test for ova and parasites. He was treated with diethylcarbamazine and albendazole+ivermectin combination. The patient responded well and had no complaints at the end of the 4 week treatment. Discussion and

Conclusion:

The subject should have been evaluated by conducting a basic investigation like a complete blood count. Delay in treatment of cases of tropical pulmonary eosinophilia can lead to permanent respiratory morbidity.

Full text: Available Index: IMSEAR (South-East Asia) Language: English Journal: Br J Med Med Res Year: 2014 Type: Article

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Full text: Available Index: IMSEAR (South-East Asia) Language: English Journal: Br J Med Med Res Year: 2014 Type: Article