Ascaris Lumbricoides'e Bağlı Basit Pulmoner Eozinofili (Loeffler's Sendromu): Olgu Sunumu

Loeffler's syndrome (simple pulmonary eosinophilia) is a syndrome which is characterized by peripheric eosinophilia and transient pulmonary opacities on chest radiograph. Our patient who was twenty-one years old, and had symptoms like dsypnea, coughing, chest pain and hemoptysis in a episodic way for five months, was hospitalized. We oscultated polyphonic rhonchuses at the both hemithoraxes. Heterogen opacities on the different locations on chest radiography were seen and peripheric leucocytosis was detected at the whole blood count. There was combined type disorder of pulmonary function test (PFT). We gave nonspecific antibiotics and bronchodilators to the patient at the beginning. The patient who was fine with the treatment, came to the our clinic with the same symptoms after two month of discharge. We got the same physical examination findings as before, patchy focal ground-glass opacities were seen at the apexes of the both lungs, at the anterior segment of upper lobe of right lung, at the middle lobe of right lobe, at the lingular segment of left lung and at the superior segments of both lower lobes by Thorax high resolution computerized tomography (HRCT). Bronchoscopy was done. Microbiological examinations of samples which were gotten by bronchoscopy were negative, total Eo 800 /mm3 and total IgE 116 were measured, eosinophilia on sputum and nasal smear was not detected. Nasal poliposis and sinusitis were diagnosed by ENT specialist and conjunctivitis was diagnosed by eye specialist. Ascarid eggs were detected from the stool. We gave albendazol 500 mg one-dose, regardingthe patient as Loeffler's syndrome. The anormalities on chest radiograph disappeared after the treatment. ©2007, Fırat Üniversity, Medical Faculty