Fever With Esinophillia

Question 1

Parasitic

Answer 1

1-Termatode:
Fasciolasis
schistomais.
2-Nematode:
A-Intestinal (catتحشيشة)
*Ascaris
*Ankylostoma
*Toxocaris
*Capillaria phil
سمك البلطى
بتعمل اسهال
شديد وايزونوفيليا
B-Tissue
*Trichinella
*Fillariasis
3-Cestode:تحشيشة CET
Hydatid (peripheral
eosinophilia when
rupture only).
فى لحم solum Tenia
الخنزير
**Cysticercosis

Question 2

Non parasite

Answer 2

1-Allergic:
Asthma.
Eczema.
Drug hypersensitivity.
2-Heamatological:
*Hodgkin.
*Esinophilic leukemia.
*Hyperesinophilic
syndrome.
3-Miscellaneous:
*Esinophilic gastroenteritis.
*IBD

Question 3

DRESS Syndrome:
=Hyperesinophilic syndrome
=Drug Reaction with Eosinophilia and Systemic Symptoms

Answer 3

D: Drug.
R: Rash.
E: Esionphilia.
S:Systemic symptoms.

Question 4

Causes

Answer 4

Causes: hypersensitivity reactions to:
 Antiepileptic: epanuten, tegretol.
 ARV(Anti Retro Viral)
 Antibiotics: quinolone, B. lactam.
 Capoten.

Question 5

Treatment

Answer 5

1. Immediate withdrawal of offending drug
2. Systemic corticosteroids (e.g., prednisone 1 mg/kg/day) in moderate to severe cases
3. Supportive care: fluids, antipyretics, monitoring organ function
4. Slow taper of steroids to prevent relapse

Question 6

Diagnosis

Answer 6

*D:Drug history
*R:Rash..Widespread, morbilliform or exfoliative rash; often starts on face/upper body
*E:Eosinophilia
Ss:Liver (most common), kidneys, lungs, heart, thyroid
خلي بالك….
Facial Edema Characteristic findingمتنساش