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Cutaneous myiasis with eosinophilic pleural effusion: A case report
1Department of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
World Journal of Clinical Cases
|July 5, 2021
Summary
Cutaneous myiasis, a skin infestation, can rarely cause eosinophilic pleural effusion. Prompt diagnosis and treatment with antiparasitic medication resolved symptoms in a reported case.
Area of Science:
- Medical Parasitology
- Pulmonology
- Infectious Diseases
Background:
- Cutaneous myiasis is a common parasitic skin infestation.
- Eosinophilic pleural effusion is a rare but serious complication.
Observation:
- A 65-year-old female presented with cough, hemoptysis, and chest pain, exhibiting peripheral blood eosinophilia and pleural effusion.
- Imaging revealed hydropneumothorax and lung consolidation.
- Initial antibiotic treatment failed, prompting suspicion of parasitic infestation.
Findings:
- The patient was treated with albendazole for presumed parasitic infestation.
- Live larvae were identified as the cause, consistent with cutaneous myiasis.
- Treatment led to resolution of eosinophilia and pleural effusion.
Implications:
- Myiasis should be considered in the differential diagnosis of eosinophilic pleural effusion, especially with peripheral blood eosinophilia.
- Early identification and antiparasitic treatment are crucial for favorable outcomes.
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