A Young Man with Cough, Eosinophilia and Pulmonary Infiltrates

Twenty six year old non smoker male, resident of Haryana (India), was admitted for elective surgery. Medical consultation for pre-anaesthetic clearance before surgery was sought for respiratory symptoms. Patient complained of dry cough, breathlessness on exertion and wheezing for the past two weeks. It was not associated with any fever, nasal discharge, sore throat. There was no previous history of similar episode of wheezing chronic cough or dyspnoea. On examination his vitals were stable and systemic examination was remarkable for the presence of bilateral extensive inpiratory and expiratory wheeze with prolonged expiration.