Title: ‘Hydropneumothorax as an Rare Manifestation of Secondary
Hypereosinophilic Syndrome - A Case Report’
Prakash Sapkota, Bhuwan Thapa, Aseem Bhattarai, Sujata Chalise, Sajana K
C, Ashish Tamang
Abstract :
We present a case of a young man who presented with cough and shortness
of breath for two weeks with peripheral eosinophilia of unknown cause
leading to left-sided pleural effusion. He was initially administered
antiparasitic drugs (Ivermectin and Praziquantel). After one week the
patient presented with an acute increase in SOB and was diagnosed with
bilateral hydropneumothorax. A bilateral pigtail was inserted. Pleural
fluid analysis was done which was purulent with lymphocyte predominance
and high adenosine deaminase. The patient was treated with
anti-tubercular therapy and steroids. After six months of therapy, the
patient was asymptomatic. The hypereosinophilic syndrome can be
presented in several ways and this study presented in a distinct way via
hydropneumothorax.