A 19-year-old gap-year traveller returns from swimming in Lake Malawi 6 weeks ago. She presents with acute onset of fever, rigors, urticaria, dry coug...

Question

A 19-year-old gap-year traveller returns from swimming in Lake Malawi 6 weeks ago. She presents with acute onset of fever, rigors, urticaria, dry cough, and marked eosinophilia (eosinophils 5.8 × 10⁹/L). Stool and urine microscopy are negative for ova. What is the most likely diagnosis?

Accepted Answer

Katayama syndrome (acute schistosomiasis)

Answer

Loeffler's syndrome due to Ascaris migration

Answer

Strongyloides hyperinfection

Answer

Tropical pulmonary eosinophilia

Answer

Allergic bronchopulmonary aspergillosis

uk-dtmh MCQ (SBA): Katayama Syndrome

A 19-year-old gap-year traveller returns from swimming in Lake Malawi 6 weeks ago. She presents with acute onset of fever, rigors, urticaria, dry cough, and marked eosinophilia (eosinophils 5.8 × 10⁹/L). Stool and urine microscopy are negative for ova. What is the most likely diagnosis?