PMC5109574_01
a: A computed tomography image showing bilateral pleural effusion and consolidation dominant in the bilateral inferior lobe on admission (tested on the first day after admission). b: Despite the use of diuretics, pleural effusion and consolidation increased during the week after admission (tested on the fifth day after admission). c: Pleural effusion and consolidation had almost disappeared on the computed tomography image 2 weeks after steroid pulse therapy (tested on the 23rd day after admission).
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However, computed tomography (CT) showed a bilateral pleural effusion and consolidation dominant in the bilateral inferior lobe (Fig. 1a). One week after admission, his chest X-ray and respiratory status worsened (Fig. 1b), and his eosinophil count also increased to 10,900 cells/muL. The pleural effusion and consolidation had almost disappeared on CT 2 weeks after steroid pulse therapy (Fig. 1c).
The eosinophil count dropped immediately after steroid pulse therapy. The serum creatinine, uric acid, and phosphate levels decreased quickly after the administration of rasburicase.
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The clinical course is summarized in Fig. 2.