<prompt> All the following are features of Tropical pulmonary Eosinophilia except-Eosinophilia 3000mm3Microfilaria in bloodParoxysmal cough and wheezeBilateral chest mottling and increased bronchovascular markings  <response>: Answer is B Microfilaria in blood : In TPE, Microfilaria are rapidly cleared from the blood stream by the lungs. Thus, microfilariae are sequestrated in the lungs and are not found in the blood. Tropical Pulmonary Eosinophilia Tropical Pulmonary Eosinophilia TPE is a distinct syndrome that develops in individuals infected with Lymphatic filarial species. Clinical symptoms result from allergic and inflammatory reaction elicited by the cleared parasites. Features of Tropical Pulmonary eosinophilia TPE : Male more commonly affected than females 4: 1 History of resistance in filarial endemic region Paroxysmal cough and wheezing that are usually nocturnal Weight loss, low grade fever, adenopathy Eosinophilia 3000 eosinophilia ,uLe Chest X-Ray : increased bronchovascular markings , diffuse miliary lesions , or mottled opacities. Restrictive changes on Pulmonary function test 2 Elevated levels of IgE e Antifilarial antibody titers. In TPE, Microfilaria are rapidly cleared from the blood stream by the lungs. Thus, microfilariae are sequestrated in the lungs and are not found in the blood. 