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Wednesday 6 December 2017

CASE 465: LUNG with LOFFLER SYNDROME, Dr PHAN THANH HAI. MEDIC MEDICAL CENTER, HCMC VIETNAM


Woman  45 yo with  fever and cough. Chest XRays detected many  white spots  like balloon both site the lung.


Radiologist suggested diffuse lung metastasis.
Blood tests=  WBC rise 11.27 k, eosi 20,7%,  IgE 1779 UI/mL.
Toxocara sp  positive  with od 1,809 and  all cancer marker are negative.
CT scan  with CE many opacification of  peripheral lung  booth site( CT1a/b)




CT scan the lung  with CE   the  lesion is small  regression.


Ultrasound of thorax  with small light 



After one week treatment  no fever  no cough.   Chest  Xrays  is clear.





Summary:   By the clinical, blood tests, chest XRays,  diagnosis  as  Loffler syndrome  of the lung  was made for the case.
REFERENCE


AFTER ONE MONTH  CHEST XRAY IS NORMAL  AND BLOOD TEST  STILL HIGHT EOSINOPHILE 13%  


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