Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2024 Aug 8;16(8):e66416.
doi: 10.7759/cureus.66416. eCollection 2024 Aug.

Looking Beyond Pneumonia and Asthma in India: An Interesting Case of Churg-Strauss Syndrome

Ashok Kumar  1 , Manish Gaba  1 , Naveen Kumar  2 , Ashok Kumar  1
Affiliations
Case Reports

Looking Beyond Pneumonia and Asthma in India: An Interesting Case of Churg-Strauss Syndrome

Ashok Kumar et al. Cureus. .

Abstract

Churg-Strauss syndrome is a rare multisystem disorder characterized by asthma, eosinophilia, and vasculitis. The patient presented with prolonged fever, cough with blood-stained sputum, weight loss, pain in the abdomen, and a subsequent onset of hoarseness of voice. A history of asthma, left-side vocal cord paralysis, eosinophilia, nodular opacities on radiography, and eosinophilic duodenitis on biopsy led to a diagnosis of Churg-Strauss syndrome. The patient's condition improved on treatment with steroids. This is an interesting case and presents an opportunity to learn about Churg-Strauss syndrome.

Keywords: antibiotics; associated factors of asthma; bacteria; community acquired pneumonia; eosinophilic granulomatosis with polyangiitis (egpa); organism; viruses.

PubMed Disclaimer

Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Chest X-ray showing bilateral nodular infiltrate in both lung fields.
Figure 2
Figure 2. Radiograph of paranasal sinus showing bilateral maxillary sinus haziness and right frontal sinus haziness suggestive of sinusitis
Figure 3
Figure 3. Multiple nodular opacities in bilateral lung fields involving upper and lower lobes.
Figure 4
Figure 4. Multiple sub-centimetric lymph nodes seen in the mediastinal, pre-tracheal, para-tracheal, and hilar region.
Figure 5
Figure 5. Upper GI endoscopy showing erythema with pre-pyloric ulcer
Figure 6
Figure 6. Upper GI endoscopy showing punctate white lesion over duodenal fold with elevated plaque
Figure 7
Figure 7. Direct laryngoscopy showing left vocal cord palsy.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Langford CA, Fauci AS. Harrison's Principles of Internal Medicine. Vol. 21. New York: McGraw-Hill, Health Professions Division; 2022. The Vasculitis syndromes; pp. 2809–2810.
    1. The American College of Rheumatology 1990 criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis) Masi AT, Hunder GG, Lie JT, et al. Arthritis Rheum. 1990;33:1094–1100. - PubMed
    1. Prognostic factors in polyarteritis nodosa and Churg-Strauss syndrome. A prospective study in 342 patients. Guillevin L, Lhote F, Gayraud M, et al. Medicine. 1996;75:17–28. - PubMed
    1. Mepolizumab or placebo for eosinophilic granulomatosis with polyangiitis. Wechsler ME, Akuthota P, Jayne D, et al. N Engl J Med. 2017;376:1921–1932. - PMC - PubMed
    1. Rituximab for the treatment of eosinophilic granulomatosis with polyangiitis (Churg-Strauss) Mohammad AJ, Hot A, Arndt F, et al. Ann Rheum Dis. 2016;75:396–401. - PubMed

Publication types

LinkOut - more resources