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Journal of Tropical Pediatrics 1994 40(1):49-51; doi:10.1093/tropej/40.1.49
© 1994 by Oxford University Press
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brief-report

Pulmonary Eosinophilia in Children: Report of a School Survey in Rural Tamil Nadu in India

D. Ray*, and R. Abel**

*Department of Chest Diseases, Christian Medical College; Vellore India
**Rural Unit for Health and Social Affairs, Christian Medical College; Vellore India

Correspondence: Dr D. Ray, Department of Chest Diseases, Christian Medical College & Hospital, Vellore, Tamil Nadu, India

During the period of 1981–82 in a survey of 21 schools in four villages of North Arcot Ambedkar District of Tamil Nadu, amongst a population of 4282 children we detected 92 with respiratory symptoms and Mood eosinophilia greater than 1000 per cumm. Sixty-eight students had associated worm infestation, majority with hookworm followed by giardia. Altogether 37 children had blood eosinophilia above 2000 per cumm and had symptoms of cough, dyspnoea, and wheeze consistent with pulmonary eosinophilia. Fourteen of the children with pulmonary eosinophilia had eosinopenic remission with deworming alone.Six of them, on the other hand, responded to diethyl carbamazine (DEC) alone and 17 others, following deworming, required further DEC therapy for successful eosinopenk remission, thus warranting a diagnosis of Tropical Pulmonary Eosinophilia (TPE).


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