Image challenge: Beware of diagnostic anchoring - An offshore vessel welding inspector with eosinophilia and a cough productive of 'worms'.

Rebecca Watson; Hugh Adler; Tom Wingfield

doi:10.1016/j.clinpr.2021.100105

Image challenge: Beware of diagnostic anchoring - An offshore vessel welding inspector with eosinophilia and a cough productive of 'worms'.

Rebecca Watson, Hugh Adler, Tom Wingfield

Clinical Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

A 38-year old male was referred from an Acute Medical Unit to a regional Tropical Infectious Disease Unit with a seven-week history of dyspnoea, wheeze and cough reportedly productive of worms. The patient had taken photographs of the expectorated substance which allowed macroscopic examination by a consultant in infectious diseases. Fresh samples were also sent for histological examination. Initial investigations showed a prominent eosinophilia of 2.5 × 10/ml (0.0-0.4 × 10/ml).

Original language	English
Article number	100105
Pages (from-to)	100105
Journal	Clinical Infection in Practice
Volume	12
Early online date	25 Oct 2021
DOIs	https://doi.org/10.1016/j.clinpr.2021.100105
Publication status	Published - 1 Nov 2021

Keywords

Allergic bronchopulmonary aspergillosis
Asthma
Bronchial casts
Eosinophilia
Travel
Worms

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.clinpr.2021.100105Licence: CC BY

Clin J Inf 12 100105 2021Final published version, 691 KBLicence: CC BY

Cite this

@article{710505ba09d44be38f1f6795e8a0e3fa,

title = "Image challenge: Beware of diagnostic anchoring - An offshore vessel welding inspector with eosinophilia and a cough productive of 'worms'.",

abstract = "A 38-year old male was referred from an Acute Medical Unit to a regional Tropical Infectious Disease Unit with a seven-week history of dyspnoea, wheeze and cough reportedly productive of worms. The patient had taken photographs of the expectorated substance which allowed macroscopic examination by a consultant in infectious diseases. Fresh samples were also sent for histological examination. Initial investigations showed a prominent eosinophilia of 2.5 × 10/ml (0.0-0.4 × 10/ml).",

keywords = "Allergic bronchopulmonary aspergillosis, Asthma, Bronchial casts, Eosinophilia, Travel, Worms",

author = "Rebecca Watson and Hugh Adler and Tom Wingfield",

year = "2021",

month = nov,

day = "1",

doi = "10.1016/j.clinpr.2021.100105",

language = "English",

volume = "12",

pages = "100105",

journal = "Clinical Infection in Practice",

issn = "2590-1702",

publisher = "Elsevier B.V.",

}

TY - JOUR

T1 - Image challenge: Beware of diagnostic anchoring - An offshore vessel welding inspector with eosinophilia and a cough productive of 'worms'.

AU - Watson, Rebecca

AU - Adler, Hugh

AU - Wingfield, Tom

PY - 2021/11/1

Y1 - 2021/11/1

N2 - A 38-year old male was referred from an Acute Medical Unit to a regional Tropical Infectious Disease Unit with a seven-week history of dyspnoea, wheeze and cough reportedly productive of worms. The patient had taken photographs of the expectorated substance which allowed macroscopic examination by a consultant in infectious diseases. Fresh samples were also sent for histological examination. Initial investigations showed a prominent eosinophilia of 2.5 × 10/ml (0.0-0.4 × 10/ml).

AB - A 38-year old male was referred from an Acute Medical Unit to a regional Tropical Infectious Disease Unit with a seven-week history of dyspnoea, wheeze and cough reportedly productive of worms. The patient had taken photographs of the expectorated substance which allowed macroscopic examination by a consultant in infectious diseases. Fresh samples were also sent for histological examination. Initial investigations showed a prominent eosinophilia of 2.5 × 10/ml (0.0-0.4 × 10/ml).

KW - Allergic bronchopulmonary aspergillosis

KW - Asthma

KW - Bronchial casts

KW - Eosinophilia

KW - Travel

KW - Worms

U2 - 10.1016/j.clinpr.2021.100105

DO - 10.1016/j.clinpr.2021.100105

M3 - Article

SN - 2590-1702

VL - 12

SP - 100105

JO - Clinical Infection in Practice

JF - Clinical Infection in Practice

M1 - 100105

ER -

Image challenge: Beware of diagnostic anchoring - An offshore vessel welding inspector with eosinophilia and a cough productive of 'worms'.

Abstract

Keywords

UN SDGs

Access to Document

Fingerprint

Cite this