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diagnosis differential lung amiodarone comparison dehydrogenase diseases elevated eosinophilia induced laboratory management nonresolving returning table toxicity toxicology travel tropical
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses Medical History: • Skin exposure to
, acute HIV infection ... Cough, dyspnea - Pneumonia ... melioidosis, typhoid, pulmonary ... - Tropical pulmonary ... , Lassa fever, acute
Non-Resolving Pneumonias: Etiologies Unusual Infections: - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia) - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... ) - Returning travelers ... - Eosinophilic ... PNA (acute or chronic
Approach to Eosinophilic Lung Diseases • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Lung Diseases • Acute ... Eosinophilic Pneumonia ... Pneumonia (> 1 ... Fungal, parasites; Travel ... Lung #Diseases #pulmonary
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework LDH is a cytoplasmic enzyme present in tissues throughout
Elevated Lactate ... Legionnaires disease • Pulmonary ... hepatitis • Acute ... myocarditis, rheumatic fever ... Polyarteritis nodosa • Eosinophilic
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
rarely present with eosinophilic ... pleural effusions • Acute ... toxicity (e.g., acute ... Fever 4. ... leukocytosis • ↑ LDH
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