Strongyloides—An uncommon cause of eosinophilia whilst on durvalumab

Abstract Background In malignancy, eosinophils have been shown to play an important role in the tumour micro‐environment. Increasingly, development of eosinophilia with immune checkpoint inhibitor (ICI) use is thought to be predictive of prognosis and development of immune‐related adverse events. Ho...

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Main Authors: Gaik Tin Quah, Gillian Blanchard, Neil Miller, Paul Wilson, Ina Nordman
Format: Article
Language:English
Published: Wiley 2022-10-01
Series:Cancer Reports
Subjects:
Online Access:https://doi.org/10.1002/cnr2.1682
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author Gaik Tin Quah
Gillian Blanchard
Neil Miller
Paul Wilson
Ina Nordman
author_facet Gaik Tin Quah
Gillian Blanchard
Neil Miller
Paul Wilson
Ina Nordman
author_sort Gaik Tin Quah
collection DOAJ
description Abstract Background In malignancy, eosinophils have been shown to play an important role in the tumour micro‐environment. Increasingly, development of eosinophilia with immune checkpoint inhibitor (ICI) use is thought to be predictive of prognosis and development of immune‐related adverse events. However, there are many other causes for developing eosinophilia which can contribute to the difficulties in diagnosis and management. Case Here, we present a case of Strongyloides parasitic infection as an uncommon differential for eosinophilia in a patient with lung cancer receiving a PDL‐1 ICI, durvalumab, in Australia. Conclusion This case highlights the complexities exploring the multiple potential causes of eosinophilia and the subsequent management, to allow safe continuation of ICI.
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spelling doaj.art-3f76d5676bfc4c358730d5adfe2f3e2a2022-12-22T03:33:00ZengWileyCancer Reports2573-83482022-10-01510n/an/a10.1002/cnr2.1682Strongyloides—An uncommon cause of eosinophilia whilst on durvalumabGaik Tin Quah0Gillian Blanchard1Neil Miller2Paul Wilson3Ina Nordman4Department of Medical Oncology, Calvary Mater Newcastle Waratah AustraliaDepartment of Medical Oncology, Calvary Mater Newcastle Waratah AustraliaDepartment of Infectious Diseases Calvary Mater Newcastle Waratah AustraliaDepartment of Infectious Diseases Calvary Mater Newcastle Waratah AustraliaDepartment of Medical Oncology, Calvary Mater Newcastle Waratah AustraliaAbstract Background In malignancy, eosinophils have been shown to play an important role in the tumour micro‐environment. Increasingly, development of eosinophilia with immune checkpoint inhibitor (ICI) use is thought to be predictive of prognosis and development of immune‐related adverse events. However, there are many other causes for developing eosinophilia which can contribute to the difficulties in diagnosis and management. Case Here, we present a case of Strongyloides parasitic infection as an uncommon differential for eosinophilia in a patient with lung cancer receiving a PDL‐1 ICI, durvalumab, in Australia. Conclusion This case highlights the complexities exploring the multiple potential causes of eosinophilia and the subsequent management, to allow safe continuation of ICI.https://doi.org/10.1002/cnr2.1682durvalumabeosinophiliaimmune checkpoint inhibitorsimmunotherapyStrongyloides
spellingShingle Gaik Tin Quah
Gillian Blanchard
Neil Miller
Paul Wilson
Ina Nordman
Strongyloides—An uncommon cause of eosinophilia whilst on durvalumab
Cancer Reports
durvalumab
eosinophilia
immune checkpoint inhibitors
immunotherapy
Strongyloides
title Strongyloides—An uncommon cause of eosinophilia whilst on durvalumab
title_full Strongyloides—An uncommon cause of eosinophilia whilst on durvalumab
title_fullStr Strongyloides—An uncommon cause of eosinophilia whilst on durvalumab
title_full_unstemmed Strongyloides—An uncommon cause of eosinophilia whilst on durvalumab
title_short Strongyloides—An uncommon cause of eosinophilia whilst on durvalumab
title_sort strongyloides an uncommon cause of eosinophilia whilst on durvalumab
topic durvalumab
eosinophilia
immune checkpoint inhibitors
immunotherapy
Strongyloides
url https://doi.org/10.1002/cnr2.1682
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AT neilmiller strongyloidesanuncommoncauseofeosinophiliawhilstondurvalumab
AT paulwilson strongyloidesanuncommoncauseofeosinophiliawhilstondurvalumab
AT inanordman strongyloidesanuncommoncauseofeosinophiliawhilstondurvalumab