27-year-old Asian man presenting with chronic nocturnal cough.

With increased globalization, more people are migrating to the United States (US) for higher education and employment. Consequently, more internationally associated infectious diseases are being diagnosed in the United States. Physicians should be aware of the consequences of this global travel and become familiar with parasitic infections and their clinical manifestations. We report a case of tropical pulmonary eosinophilia in a foreign medical resident from India. Tropical pulmonary eosinophilia should always be included in the differential diagnosis of chronic cough with eosinophilia, especially when dealing with immigrants or when there is a history of recent travel to an endemic area.