[Clinical analysis of chronic eosinophilic pneumonia in 9 cases].

Objective: To investigate the clinical features, treatment and prognosis of chronic eosinophilic pneumonia. Methods: Nine patients with chronic eosinophilic pneumonia diagnosed in Shandong Provincial Qianfoshan Hospital from January 2014 to December 2020 were enrolled and followed up. The data of clinically proven chronic eosinophilic pneumonia were reviewed. Results: The 9 cases included one male and eight females, aged from 16 to 71 years (median 47 years). Among them, 5 cases were complicated with asthma, 1 case was complicated with allergic rhinitis, and 1 case had an allergic history of pollen. All the patients had cough, expectoration, chest tightness and wheezing, and a few had fatigue (3/9), fever (1/9) and chest pain (1/9). Single or multiple patchy high-density shadows (9/9), mediastinal lymphadenopathy (7/9), air bronchogram (2/9), and reticular shadow (1/9) were observed in chest CT. Peripheral eosinophils (EOS) and serum total IgE increased to varying degrees in the 9 patients. Meanwhile, the bronchoscopy of 5 cases showed elevated percentage of eosinophils in alveolar lavage fluid, and the lung biopsy of remaining 4 cases showed EOS infiltration in lung alveolar and interstitium. After receiving glucocorticoid therapy for 0.5 to 1 month, the clinical symptoms of all 9 patients had been improved and lung lesions on CT scans had been obviously absorbed. Four cases relapsed during follow-up. Conclusions: For patients especially women who have a history of allergy, elevated blood eosinophils and serum total IgE with pulmonary high-density shadow or consolidation, chronic eosinophilic pneumonia should be considered, and bronchoscopy or percutaneous lung biopsy is indicated for a definite diagnosis. Glucocorticoid therapy is effective, but the rate of recurrence is high.

Survey of the native insect natural enemies of Hyphantria cunea (Drury) (Lepidoptera: Arctiidae) in China.

The fall webworm, Hyphantria cunea (Drury) (Lepidoptera: Arctiidae), is an invasive and important pest in China. Investigations on insect natural enemies have been conducted from 1996 to 1999 in five provinces and one municipality of China in order to select effective species for biological control. Two carabid predators (Coleoptera) and 25 parasitoid species were found, among which 23 were parasitic wasps (Hymenoptera), including five hyperparasitic species and two tachinid flies (Diptera). The two carabids preyed on young larvae inside webs, two braconid wasps parasitized larvae, and 18 parasitoid species attacked the fall webworm during the pupal and/or 'larval-pupal' stages. Among these parasitoids, there were one genus and nine species that are new to science and four species new to China, which were described and published by the senior author Yang. The average parasitism rates of fall webworm pupae were 25.8% and 16.1% in the overwintering generation and the first generation (summer generation), respectively. These findings reveal that these natural enemies play an important role in the natural control of the pest. Chouioia cunea Yang (Hymenoptera: Eulophidae), a gregarious pupal endo-parasitoid, was recommended as a promising biological control agent against the fall webworm in China.