PMC6010665_01
Parenchymal infiltrations seen in the right lung.
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Investigations were significant for elevated WBCs count to 20.9 (Neutrophils 96.1%, lymphocytes 0.8%, monocytes 2.3%, eosinophils 0%), and chest X ray with multiple opacities in the right lung field (Fig. 1); IgE level was 205, HIV was negative.
CT chest showing Opacification within the entirety of the right lung with air bronchograms suggestive of a infectious process and Bilateral pleural effusion.
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Due to lack of improvement and paucity of microbiological data, patient had a CT of the chest which showed opacification within the entirety of the right lung with air bronchograms (Fig. 2).
Bronchial washing showing Acute inflammation and microorganisms present suspicious for filariform larvae, serology was positive for Strongyloides.
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Bronchial washing cytology showed acute inflammation and filariform larvae (Fig. 3) and serology was positive for Strongyloides antibodies.