Chronic eosinophilic pneumonia

Authors

  • Florencia Vivero Servicio de Clínica Médica, Hospital Privado de Comunidad, Mar del Plata.
  • Cleto Ciocchini Servicio de Clínica Médica, Hospital Privado de Comunidad, Mar del Plata.
  • María J. Gandini Servicio de Clínica Médica, Hospital Privado de Comunidad, Mar del Plata.
  • Luis Wehbe Servicio de Neumonología, Hospital Privado de Comunidad, Mar del Plata.

DOI:

https://doi.org/10.31053/1853.0605.v69.n1.21361

Keywords:

eosinophilia pulmonary, eosinophilic pneumonia, eosinophilia

Abstract

Chronic eosinophilic pneumonia. The chronic eosinophilic pneumonia is part of Pulmonary Eosinophilic Syndroms. It is presented a 33-years old man, Asmathic, with dry cough, fever, night sweats and fatigue of several weeks. The chest X-ray showed opacity in the right hemithorax. He was treated with antibiotics without response. A chest TC showed multifocal involvement. The patient refused bronchoalveolar lavage (BAL) so treatment antituberculostatic was started. 
Despite treatment the symptoms worsened. The Chest X-ray showed migration of the infiltrates and the blood smear marked eosinophilia. 
Finally, bronchoalveolar lavage was carried out and it showed a high percentage of eosinophils (over 50%). The patient was treated with inmmunosuppresive doses of corticosteroids with excellent response. The blood smear in Nonresolving pneumonia is key to consider eosinophilic pneumonia, an uncommon pathology but amenable to treatment.

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References

Reader WH, Goodrich BE: Pulmonary infiltrates with eosinophilia (PIE syndrome). Ann Intern Med 1952; 36: 1217-40.

Carrington CB, Addington WW, Golf AM, Madoff IM, Marks A., Schwaber JR, Gaensler EA. Chronic eosinophilic pneumonia. N Engl J Med 280:787-798, 1969.

Liebow AA, Carrington CB: The eosinophilic pneumonias. Medicine, 1969; 48: 251-85.

Allen JN, Davis BW: Eosinophilic lung diseases. Am J Respir Crit Care Med 1994; 5:1423-38.

Allen JN, Magro C, King M. The eosinophilic pneumonias, Seminars in Respiratory and Critical Care Medicine, 2002; 2(23): 127-134.

Contrera M, Eosinofilias pulmonares. Neumonología y cirugía de tórax, Vol. 65(S3):S47-S55, 2006.

Marchand E., Etienne-Mastroianni B., Chanez P., Lauque D., Leclerc P. Idiopathic chronic eosinophilic pneumonia and asthma: how do they inluence each other? Eur Respir J 2003; 22: 8-13.

Carrington C.B, Gaensler E. Peripherial opacities in chronic eosiniphilic pneumonia: the photographic negative of pulmonary edema. Am J Roentgenol 1977; 128:1-13.

Robles A.M., Casas J.P., Pereyra M.A., Garzón R, Lopez A.M., Neumonía eosinofílica aguda. Medicina (Buenos aires) 2000; 60: 605-608.

Fine Michael J. y col. A prediction rule to identify low-risk patients with community acquired pneumonia. N Engl J Med 336: 243-250, 1997.

Published

2012-03-27

How to Cite

1.
Vivero F, Ciocchini C, Gandini MJ, Wehbe L. Chronic eosinophilic pneumonia. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2012 Mar. 27 [cited 2024 May 19];69(1):42-6. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/21361

Issue

Section

Case Report