Simple pulmonary eosinophilia is inflammation of the lungs associated with an increase inÃ‚Â eosinophils, a type of white blood cell.
Most cases of simple pulmonary eosinophilia are due to an allergic reaction, either from a drug, such as sulfonamide, or infection with a fungus or parasite, including Ascaris lumbricoides.
The symptoms can range from none at all to severe. They may go away without treatment.
The health care provider will listen to your chest with a stethoscope. Crackle-like sounds called rales may be heard. Rales suggest inflammation of the lung tissue.
A blood count test shows increased white blood cells, particularly eosinophils.
Chest x-ray usually shows abnormal shadows called infiltrates. They may disappear with time or reappear in different areas of the lung.
A bronchoscopy with washing may show a large number of eosinophils.
Gastric lavage may show signs of the ascaris worm.
If you are allergic to a drug, the doctor may have you stop taking it. (But, never stop a medication without consulting with your doctor first.)
If the condition is due to an infection, you may be treated with an antibiotic or anti-parasitic medication.
Sometime, corticosteroids (powerful anti-inflammatory medicines) may be needed.
The disease often goes away without treatment. If treatment is needed, the response is usually good. However, relapses can occur (the disease comes back).
A rare complication of simple pulmonary eosinophilia is a severe type of pneumonia called acute idiopathic eosinophilic pneumonia.
Pulmonary infiltrates with eosinophilia; Loeffler syndrome