Osler's unusual case--was it Churg-Strauss syndrome?

His present illness began with a chill, accompanied by pain in the abdomen, and on the three following days he had nausea and vomiting. There was no diarrhea. There had been cough and expectoration since the onset of the illness and he had been confined to bed. On the night of admission the most remarkable feature noticed was a very deep cyanosis. The respiration was somewhat labored, being about 30 to the minute, but there was no urgent dyspnœa. There were numerous dry râles and much wheezing in the tubes. He remained in this condition of remarkable cyanosis with practically no fever, except a slight one on the third day; indeed, as a rule, his temperature has been sub-normal. The cyanosis was extreme and with it, which is noteworthy, he remained constantly recumbent.