Make the Dx: Solution to 'The coughing sailor'

By MDLinx staff
Published October 11, 2023
honey for colds

Key Takeaways

Can you make the diagnosis? Click here to review the case and check your answer below.

Four differential diagnoses could be feasible: Malignancy, parasitic infection, Eosinophilic granulomatosis with polyangiitis, and Loeffler's syndrome.

However, Loeffler’s syndrome is typically a transient, short-lived condition. Absence of a history of asthma or spirometry findings consistent with asthma make eosinophilic granulomatosis with polyangiitis syndrome unlikely.

A malignancy is possible based on the symptoms and laboratory findings of eosinophilia, but the patient's travel history while on active duty with the Navy make a parasitic infection more likely.

Anti-filarial antibodies should be tested in this patient to confirm the diagnosis.

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