Index Copernicus IC Value: 85.42
International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

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Case Report
 
Acute idiopathic eosinophilic pneumonia
Creticus P Marak1, Achuta K Guddati1,
1Division of Pulmonary and Critical Care Medicine, Montefiore Hospital, Albert Einstein College of Medicine, New York, USA.
2Department of Internal Medicine, St. Vincent's Medical Center, Connecticut, USA.

doi:10.5348/ijcri-2012-05-127-CR-12

Address correspondence to:
Dr. Achuta Kumar Guddati
Department of Internal Medicine
2800, Main Street, Bridgeport
CT 06606
USA
Phone: 203-371-4445
Fax: 203-373-9414
Email: drgakumar@md.northwestern.edu

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How to cite this article:
Marak CP, Guddati AK. Acute idiopathic eosinophilic pneumonia. International Journal of Case Reports and Images 2012;3(5):53–55.


Abstract
Introduction: Acute eosinophilic pneumonia (AEP) is reported to be caused by a variety of etiological agents most of which are drugs. The objective of this case report is to describe the presenting features and the clinical course of AEP in a patient with no obvious etiological cause for an acute pulmonary process.
Case Report: This case report details the clinical course of a patient who presented with respiratory distress and was found to have radiological changes. His clinical presentation did not fit that of an infectious cause or that of an anaphylactic etiology. He initially received antibiotics and steroids but these were discontinued after fluid from bronchoalveolar lavage was found to have a high content of eosinophils. His symptoms resolved with continued steroid treatment and corresponded with resolution of his radiological changes.
Conclusion: This case report highlights the importance of promptly differentiating the possible etiology of pneumonic process. Treatment with antibiotics alone will not affect the clinical course of eosinophilic pneumonia and treatment with steroids alone will exacerbate pneumonia with infectious etiology. An early diagnosis significantly changes the management and the eventual outcome. Acute idiopathic eosinophilic pneumonia should always be considered as a viable alternative in patients who do not seem to have an obvious etiology. Timely treatment with steroids may significantly reduce the morbidity associated with this condition.

Key Words: Eosinophilic, Pneumonia, Idiopathic, Acute

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Author Contributions:
Creticus Petrov Marak - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Achuta Kumar Guddati - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Creticus Petrov Marak et al. 2012; This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)



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