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Case Report

Tropical Pulmonary Eosinophilia: Effect of Addition of Corticosteroids after Failure of Diethylcarbamazine Therapy

Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi, India
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Author to whom correspondence should be addressed.
Adv. Respir. Med. 2017, 85(1), 51-54; https://doi.org/10.5603/ARM.2017.0010
Submission received: 13 August 2016 / Revised: 13 February 2017 / Accepted: 13 February 2017 / Published: 13 February 2017

Abstract

Successful response in diethylcarbamazine (DEC) therapy in tropical pulmonary eosinophilia (TPE) is not universal with a 20–40% failure rates in chronic cases. Corticosteroids have been used in such patients. However, their role in management remains ill-defined. A patient of TPE with incomplete clinical, haematological and physiological response to a standard 3 weeks DEC therapy received additional corticosteroids for the next two cycles, after which complete remission occurred. However, there was a relapse two months later with evidence of a chronic state requiring further treatment with corticosteroids with good response.
Keywords: tropical pulmonary eosinophilia; diethylcarbamazine; corticosteroids tropical pulmonary eosinophilia; diethylcarbamazine; corticosteroids

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MDPI and ACS Style

Madan, M.; Gupta, P.; Mittal, R.; Chhabra, S.K. Tropical Pulmonary Eosinophilia: Effect of Addition of Corticosteroids after Failure of Diethylcarbamazine Therapy. Adv. Respir. Med. 2017, 85, 51-54. https://doi.org/10.5603/ARM.2017.0010

AMA Style

Madan M, Gupta P, Mittal R, Chhabra SK. Tropical Pulmonary Eosinophilia: Effect of Addition of Corticosteroids after Failure of Diethylcarbamazine Therapy. Advances in Respiratory Medicine. 2017; 85(1):51-54. https://doi.org/10.5603/ARM.2017.0010

Chicago/Turabian Style

Madan, Manu, Pawan Gupta, Richa Mittal, and Sunil K. Chhabra. 2017. "Tropical Pulmonary Eosinophilia: Effect of Addition of Corticosteroids after Failure of Diethylcarbamazine Therapy" Advances in Respiratory Medicine 85, no. 1: 51-54. https://doi.org/10.5603/ARM.2017.0010

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