Pulmonary cavity due to chronic eosinophilic pneumonia associated with arsenicosis

Abstract

in developing country like India arsenic poisoning is a major public health problem. Association of chronic eosinophilic pneumonia and chronic diarrhea with arsenicosis is rare. Also pulmonary cavity formation in chronic eosinophilic pneumonia is very uncommon, A 44-y ear-old male patient, resident of an arsenic affected area was admitted for evaluation of chronic diarrhoea, persistant peripheral eosinophilic along with radiologically visible cavity in right upper zone. There were dermatologies I manifestations of arsenicosis along wilh presence of noncirrhotic portal fibrosis and peripheral eosinophilia. On hronchoalveolar lavage study, eosinophil comprised 40% of total eel I u Lint y making the diagnosis of chronic eosinophilic pneumonia. After ruling oul alt pobsible causes of diarrhoea and chronic eosinophilic pneumonia, we came to conclusion that arsenic could be implicated as causative agent.