Intended for healthcare professionals

Rapid response to:

Letters Incidental eosinophilia

Always take a travel history in eosinophilia

BMJ 2011; 342 doi: https://doi.org/10.1136/bmj.d3688 (Published 14 June 2011) Cite this as: BMJ 2011;342:d3688

Rapid Response:

Eosinophilia diagnostics

A very useful update considering casuistics is defined by
Meltzer E. 'Eosinophilia among returning travellers: a practical
approach'. Am J Trop Med Hyg. 2008 ; 78: 702-9 or the update of Jeng MR (Hematologic
problems in immigrants from Southeast Asia. Hematol Oncol Clin North Am 2004; 18 : 1405-22).

The differental diagnosis between absolute and relative eosinophilia
( > < 450 / microl ), and the importance of parasitic co-infection
in up to one fourth of travellers with eosinophilia would be the main hallmarks
in these guidelines, added to coprologic studies in south hemisphere areas
(Strongyloides spp, Schistosoma spp, Knott test , urine parasites ) and
antigenic/molecular diagnostic (Trichinella spp, fasciola, Wuchereria
brancofti) studies.

Competing interests: No competing interests

24 June 2011
Sabino G Echebarria Mendieta
MD neurologist.
H San Eloy ( Barakaldo-Bizkaia ) district clinics.Osakidetza-Basque Health Service