Loffler Syndrome Follow-up

Updated: Feb 13, 2017
  • Author: Girish D Sharma, MD, FCCP, FAAP; Chief Editor: Denise Serebrisky, MD  more...
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Follow-up

Further Outpatient Care

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  • Repeat chest radiography 4-6 weeks after initial presentation to document resolution of pulmonary infiltrates in patients with Löffler syndrome.

  • Repeat CBC count 4-6 weeks after initial presentation to document resolution of eosinophilia.

  • Examine stool for ova and parasites 6-12 weeks after initial presentation.

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Inpatient & Outpatient Medications

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  • Use appropriate antihelminthic therapy if parasitic infection is diagnosed.

  • Use systemic corticosteroids for patients with severe respiratory symptoms.

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Complications

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  • A case report describes hypereosinophilic syndrome with isolated Loeffler endocarditis, which resolved completely after 2 months of corticosteroid therapy. [7]

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Prognosis

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  • Prognosis is excellent.

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Patient Education

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  • Sanitary practice

    • Educate people about sanitary disposal of feces, associated with educational campaigns for the use of latrines and pit privies in rural communities.

    • Promote good handwashing technique to avoid ingestion of parasitic forms from contaminated soil.

  • In endemic areas of ancylostomiasis and strongyloidiasis, encourage use of proper footwear to avoid skin penetration of larvae of N americanus, A duodenale, or S stercoralis.

  • Avoid future use of the offending medication in patients with drug-induced pulmonary eosinophilia.

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