Abstract
A 32-years-old lady was hospitalized showing with C.C. of cough, sputa and fever. The patient showed infiltration in her both upper lobes, high eosinophilia (31%), leucocytosis (13, 800/mm3), acceleration of E.S.R. (116mm/1hr.) and obstructive ventilatory failure. She was treated with SM+INH+PAS for 2 months and thereafter with CPM+INH+PAS for 2 months. The infiltration in the lungs disappeared completely after 3 months. She showed the strongest reaction to tuberculin prepared from Mycobacterium scrofulaceum among tuberculins of M. tuberculosis, M, scrofulaceum and M. intracellulare. The case was considered to be Loeffler's syndrome.
The present case suggests that Loeffler's syndrome (pulmonary eosinophilia) may be caused by M. scrofulaceum.