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The Korean Journal of Pathology 1978;12(4): 449-453.
중증 회충증에 의한 심한 호산구 증가증 1예
Seuere Eosinophilia due to Missive Ascariasis
Eosinophilia occurs in allergic disease in certain skin disease, in parasitic infestation, in a few infectious disease (scarlet fever), in some cases of Hodgkin’s disease and chronic myelogenous leukemia. Parasitic infestation is more likely to produce eosinophilia when the parasites invade the tissue, e.g., trichinosis the larval migratory stage of ascariasis, cysticercosis, visceral larval migrans and ecchinococcosis. Patient with pulmonary ascariasis shows the peak of the eosinophilia from 30 to 70 per cent. But, in intestinal parasitism, eosinophilia is less marked. The presented case was a 64 year-old female who was admitted to medical department of HUH with chief complaints of right upper abdominal & epigastric pain, anorexia, indigestion and constipation. Under the diagnosis of intestinal ascariasis, the patient was medicated with Combantrin for four days. In stool, 152 adult worms were found. At admission time, hematologic finding was revealed with 73% of eosinophils in total leukocyte counts. No evidence of pneumonitis is noted on chest X-ray.
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