Ito Koki, Ogawa Takunori, Tanigaki Tomomi, Kameda Koji, Hashimoto Hiroshi, Kawana Akihiko, Kimizuka Yoshifumi
Division of Infectious Diseases and Respiratory Medicine, Department of Internal Medicine, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Division of Thoracic Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Respir Med Case Rep. 2024 Jun 21;51:102075. doi: 10.1016/j.rmcr.2024.102075. eCollection 2024.
Eosinophilic pleural effusion is rare, and the cause is often obscure. A 73-year-old man with no relevant medical history presented with exertional dyspnea. Chest imaging revealed left-sided pleural effusion, and pleural fluid examination revealed eosinophilic pleural effusion. Blood tests revealed an increased peripheral blood eosinophil count and elevated Immunoglobulin E levels. was detected in pleural specimens collected via thoracoscopy. Antimicrobial therapy targeting resolved the eosinophilic pleural effusion and elevated peripheral blood eosinophil count. infection may be considered as a cause of eosinophilic pleural effusion when the diagnosis is difficult.
嗜酸性胸腔积液较为罕见，病因通常不明。一名73岁无相关病史的男性因劳力性呼吸困难就诊。胸部影像学检查显示左侧胸腔积液，胸腔积液检查显示为嗜酸性胸腔积液。血液检查显示外周血嗜酸性粒细胞计数增加和免疫球蛋白E水平升高。通过胸腔镜采集的胸腔标本中检测到了[此处原文缺失具体内容]。针对[此处原文缺失具体内容]的抗菌治疗使嗜酸性胸腔积液和外周血嗜酸性粒细胞计数升高的情况得到缓解。当诊断困难时，[此处原文缺失具体内容]感染可被视为嗜酸性胸腔积液的一个病因。
