Saturday, July 1, 2017

High Eosinophil Count on routine blood work ...

A 32-yr-old man from Uganda is referred to hospital with a high eosinophil count by his GP following routine blood tests. He is entirely asymptomatic and has no past medical history of note.



Which of the following organisms is LEAST likely to be responsible?
A. Strongyloides stercoralis
B. Wuchereria bancrofti
C. Schistosoma mansoni
D. Schistosoma haematobium
E. Entamoeba histolytica

Answer:
E--Entamoeba histolytica

Discussion: Entamoeba histolytica is associated with a spectrum of illness, including colitis, liver abscess, extra GI disease (CNS, pulmonary involvement) and asymptomatic infection.
Leukocytosis may occur but eosinophilia is NOT a feature.

Eosinophilia is associated with tissue-invasive helminths: strongyloidiasis, Wucheria infection, schistosomiasis could all present in this way and should be screened for here.

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