Image challenge: Beware of diagnostic anchoring – An offshore vessel welding inspector with eosinophilia and a cough productive of ‘worms’

Clinical Infection in Practice

Hugh Adler¹  Rebecca Watson²  Tom Wingfield³ 

[1] Corresponding author.;Tropical and Infectious Diseases Unit, Liverpool University Hospitals NHS Foundation Trust, Prescot Street, Liverpool L7 8XP, United Kingdom;Tropical and Infectious Diseases Unit, Liverpool University Hospitals NHS Foundation Trust, United Kingdom;

关键词: Eosinophilia;    Worms;    Bronchial casts;    Travel;    Asthma;    Allergic bronchopulmonary aspergillosis;   

DOI  :  

来源: DOAJ

【 摘 要 】

A 38-year old male was referred from an Acute Medical Unit to a regional Tropical Infectious Disease Unit with a seven-week history of dyspnoea, wheeze and cough reportedly productive of worms. The patient had taken photographs of the expectorated substance which allowed macroscopic examination by a consultant in infectious diseases. Fresh samples were also sent for histological examination. Initial investigations showed a prominent eosinophilia of 2.5 × 109/ml (0.0-0.4 × 109/ml).

【 授权许可】

Unknown