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  #1  
Old 01-05-2012
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Default Increased eosinophill count

A 60-year-old female with a history of urinary tract infection, steroiddependent chronic obstructive lung disease, and asthma presents with bilateral infiltrates and an eosinophil count of 15%. The least likely diagnosis is ?


A. Bronchopulmonary aspergillosis
B. Hypersensitivity pneumonitis
C. Strongyloides hyperinfection syndrome
D. Drug effect of nitrofurantoin
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The above post was thanked by:
Dr. Mexito (01-05-2012), indigo (01-05-2012), riya rai (01-06-2012)



  #2  
Old 01-05-2012
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i wod say C...

bt nitrofurontoin s/e causes eosinophilia?? or hypersensitivity pneumonitis ?nt sure
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  #3  
Old 01-05-2012
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Help +1...

C... because the patient is taking steroids (an immunosuppressive drug) predisposing him to a dissemination of C. Strongyloides. Although aspergillus can also cause eosinophilia an pulmonary pneumonitis, urinary track infections are rare.

Well, this is me thinking that is right the answer... lets wait for the correct one.
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  #4  
Old 01-05-2012
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Its for sure B Hypersensitiity pneumonitis
Awesome question man
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  #5  
Old 01-05-2012
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Help Yeap... is B

"The least likely diagnosis"... You got me there... this was a curved ball...

Quote:
Originally Posted by Dr. Mexito View Post
C... because the patient is taking steroids (an immunosuppressive drug) predisposing him to a dissemination of C. Strongyloides. Although aspergillus can also cause eosinophilia an pulmonary pneumonitis, urinary track infections are rare.

Well, this is me thinking that is right the answer... lets wait for the correct one.
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