Image challenge: Beware of diagnostic anchoring - An offshore vessel welding inspector with eosinophilia and a cough productive of 'worms'.



Watson, Rebecca, Adler, Hugh and Wingfield, Tom ORCID: 0000-0001-8433-6887
(2021) Image challenge: Beware of diagnostic anchoring - An offshore vessel welding inspector with eosinophilia and a cough productive of 'worms'. Clinical infection in practice, 12. 100105-.

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Abstract

A 38-year old male was referred from an Acute Medical Unit to a regional Tropical Infectious Disease Unit with a seven-week history of dyspnoea, wheeze and cough reportedly productive of worms. The patient had taken photographs of the expectorated substance which allowed macroscopic examination by a consultant in infectious diseases. Fresh samples were also sent for histological examination. Initial investigations showed a prominent eosinophilia of 2.5 × 10<sup>9</sup>/ml (0.0-0.4 × 10<sup>9</sup>/ml).

Item Type: Article
Uncontrolled Keywords: Allergic bronchopulmonary aspergillosis, Asthma, Bronchial casts, Eosinophilia, Travel, Worms
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User: Symplectic Admin
Date Deposited: 28 Jan 2022 14:14
Last Modified: 18 Jan 2023 21:14
DOI: 10.1016/j.clinpr.2021.100105
Open Access URL: https://doi.org/10.1016/j.clinpr.2021.100105
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3147774