Idiopathic subacute pulmonary eosinophilia

We report a case of pneumonia with hypoxaemia and a swinging fever which was resistant to antibiotics, but was associated with a hypereosinophilia (44%) noted in the bronchoalveolar lavage. Investigations as to the cause of the eosinophilic pneumonia were negative; a lung biopsy confirmed the eosino...

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Bibliographic Details
Published inRevue des maladies respiratoires Vol. 9; no. 5; p. 553
Main Authors Carré, P C, Carré, J C, Rouquet, R M, Léophonte, P
Format Journal Article
LanguageFrench
Published France 1992
Subjects
Acute Disease
Adrenal Cortex Hormones - administration & dosage
Adrenal Cortex Hormones - therapeutic use
Biopsy
Drug Resistance, Microbial
Humans
Male
Middle Aged
Pulmonary Eosinophilia - diagnostic imaging
Pulmonary Eosinophilia - drug therapy
Pulmonary Eosinophilia - etiology
Tomography, X-Ray Computed
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Summary:We report a case of pneumonia with hypoxaemia and a swinging fever which was resistant to antibiotics, but was associated with a hypereosinophilia (44%) noted in the bronchoalveolar lavage. Investigations as to the cause of the eosinophilic pneumonia were negative; a lung biopsy confirmed the eosinophilic infiltration and the absence of any angiitis. There was a rapid and favourable clinical outcome following steroid therapy, which was maintained for three months. No relapse has been noted in the ten months of follow up since ceasing the cortico-steroids. The diagnosis appears to be that of a sub-acute, idiopathic eosinophilic pneumonia. The similarities and differences between this case and the chronic idiopathic eosinophilic pneumonia of Carrington were discussed.
ISSN:0761-8425