Respiratory Medicine Case Reports (Jan 2024)

Eosinophilic pleural effusion due to Staphylococcus epidermidis infection: A case report

  • Koki Ito,
  • Takunori Ogawa,
  • Tomomi Tanigaki,
  • Koji Kameda,
  • Hiroshi Hashimoto,
  • Akihiko Kawana,
  • Yoshifumi Kimizuka

Journal volume & issue
Vol. 51
p. 102075

Abstract

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Eosinophilic pleural effusion is rare, and the cause is often obscure. A 73-year-old man with no relevant medical history presented with exertional dyspnea. Chest imaging revealed left-sided pleural effusion, and pleural fluid examination revealed eosinophilic pleural effusion. Blood tests revealed an increased peripheral blood eosinophil count and elevated Immunoglobulin E levels. Staphylococcus epidermidis was detected in pleural specimens collected via thoracoscopy. Antimicrobial therapy targeting Staphylococcus epidermidis resolved the eosinophilic pleural effusion and elevated peripheral blood eosinophil count. Staphylococcus epidermidis infection may be considered as a cause of eosinophilic pleural effusion when the diagnosis is difficult.

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