Case report of the charg-strauss syndrome which simulated acute infectious bronchiolitis. Radiologyst’s point of view

Bashkov A.N., Sheikh Zh.V., Dunaev A.P., Popov M.V., Samojlov A.S., Udalov Ju.D., Volodina V.D.

Purpose. Present a clinical case of rare systemic vasculitis - Charge-Strauss Syndrome (ChSS), which, according to computed tomography (CT), showed signs of infectious bronchiolitis

Material and method. A clinical case of diagnosing systemic vasculitis - ChSS in a patient who was twice hospitalized in a clinic in February-April 2013 is presented.

Results. At the first hospitalization ChSS was concealed under the combination of respiraritory complains, CT-sign of «tree in bud» and hypereosinophilia, that is why the diagnosis of acute infectious bronchiolitis was made. At the second hospitalization, neurological complaints prevailed, hypereosinophilia persisted. The goal of CT was to exclude the systemic process. The knowledge of the characteristic clinical triad (asthma, sinusitis, neuropathy, hypereosinophilia) allowed us to correctly suggest ChSS

Conclusion. In case of hypereosinophilia  pathological changes in the lungs should be carefully interpreted on CT data, variety of diseases have to be taken in mind. In the presented clinical case ChSS simulated acute infectious bronchiolitis. Due to the pronounced thickening of the walls of the small bronchi in case of СhSS CT-sign of «tree-in-bud» can occurred.

1 - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency of Russia.

2 - S. P. Botkin City clinical hospital.

3 - Russian medical Academy of continuing professional education.

4 - Moscow City clinical hospital №62.

Moscow, Russia.

 

Keywords: computed tomography, «tree-in-bud» sign, infectious bronсhiolitis, hypereosinophiliya, Churg-Strauss syndrome.

 

Corresponding author:  Bashkov A.N., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Bashkov A.N., Sheikh Zh.V., Dunaev A.P., Popov M.V., Samojlov A.S., Udalov Ju.D., Volodina V.D. Case report of the charg-strauss syndrome which simulated acute infectious bronchiolitis. Radiologyst’s point of view. REJR 2020; 10(1):257-263. DOI:10.21569/2222-7415-2020-10-1-257-263.

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Received:       17.10.19 Accepted:     25.02.20