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Case Report

Significant Leukocytosis with Hypereosinophilia Secondary to Trichuris trichiura in Adult: A Case Report

1
Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA, Selayang Campus, Batu Caves 68100, Malaysia
2
Department of Medical Microbiology and Parasitology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh 47000, Malaysia
3
Department of Pathology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh 47000, Malaysia
*
Author to whom correspondence should be addressed.
Academic Editor: José I. López
Clin. Pract. 2021, 11(4), 785-790; https://doi.org/10.3390/clinpract11040094
Received: 9 September 2021 / Revised: 22 October 2021 / Accepted: 22 October 2021 / Published: 26 October 2021
Eosinophilic leukocytosis can be attributed to a number of clinical conditions such as parasitic infection, allergies, and neoplasms. Parasitic infection is the main cause of eosinophilia; however, a marked leukocytosis with hypereosinophilia secondary to Trichuris trichiura in adults has not been previously reported. We describe a case of a 39-year-old man who presented with fever and diarrhea. The investigation revealed a white blood cell (WBC) count of 20.69 × 109/L with an absolute eosinophil count of 12.44 × 109/L. Fecal microscopic examination demonstrated T. trichuria eggs. The WBC count returned to normal following treatment with albendazole. The literature pertaining to hematological findings associated with Trichuris trichiura is explored in this report. This case highlights that a significant elevation of leukocyte count with hypereosinophilia can be one of the manifestations of trichuriasis infection in adults. Empirical treatment with anti-helminthic agents may play a role in suspected cases to avoid severe complications, such as Trichuris dysentery syndrome. View Full-Text
Keywords: leukocytosis; hypereosinophilia; adult; Trichuris trichiura leukocytosis; hypereosinophilia; adult; Trichuris trichiura
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MDPI and ACS Style

Abdullah, N.; Baharudin, N.; Mohd Rustam, F.R.; Khalid, Z. Significant Leukocytosis with Hypereosinophilia Secondary to Trichuris trichiura in Adult: A Case Report. Clin. Pract. 2021, 11, 785-790. https://doi.org/10.3390/clinpract11040094

AMA Style

Abdullah N, Baharudin N, Mohd Rustam FR, Khalid Z. Significant Leukocytosis with Hypereosinophilia Secondary to Trichuris trichiura in Adult: A Case Report. Clinics and Practice. 2021; 11(4):785-790. https://doi.org/10.3390/clinpract11040094

Chicago/Turabian Style

Abdullah, Nasturah, Noorhida Baharudin, Farah R. Mohd Rustam, and Zalizah Khalid. 2021. "Significant Leukocytosis with Hypereosinophilia Secondary to Trichuris trichiura in Adult: A Case Report" Clinics and Practice 11, no. 4: 785-790. https://doi.org/10.3390/clinpract11040094

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