Tropical pulmonary eosinophilia presenting as severe pulmonary arterial hypertension

Tropical pulmonary eosinophilia (TPE) is an easily diagnosed and treatable disease. Patients with TPE usually present with respiratory symptoms that include paroxysmal cough, breathlessness, wheeze and chest pain, often misdiagnosed as bronchial asthma. This case highlights one of the unusual presentations of TPE and discusses the association between TPE and pulmonary hypertension.