dc.contributor.author |
Fernández-Bussy, Sebastián |
|
dc.contributor.author |
Campos, Felipe |
|
dc.contributor.author |
Ogueta, Isabel |
|
dc.contributor.author |
Labarca, Gonzalo |
|
dc.contributor.author |
Cabello, Hernán |
|
dc.date.accessioned |
2017-05-10T12:26:59Z |
|
dc.date.available |
2017-05-10T12:26:59Z |
|
dc.date.issued |
2016 |
|
dc.identifier.citation |
Rev Med Chil. 2016 Feb;144(2):262-6 |
|
dc.identifier.uri |
http://hdl.handle.net/11447/1213 |
|
dc.identifier.uri |
https://doi.org/10.4067/S0034-98872016000200017 |
|
dc.description.abstract |
Chronic eosinophilic pneumonia (CEP) is uncommon and predominantly seen in women. More than 6% of eosinophils in peripheral blood and more than 25% in bronchoalveolar lavage are diagnostic criteria. Secondary causes of hypereosinophilic pneumonia must be ruled out. We report a 72-year-old non-smoker man presenting in the emergency room with a history of cough, fever, and moderate dyspnea. He was not taking any medication. A chest-X ray showed a left lower lobe (LLL) consolidation, and was started on broad-spectrum antibiotics with a presumptive diagnosis of pneumonia. There was no improvement after therapy. A chest CT scan showed increased LLL consolidation and new left upper lobe ground glass opacities as well as a moderate left pleural effusion. Flexible bronchoscopy was performed and bronchoalveolar lavage showed 95% eosinophils, and had negative cultures. No parasites were identified. Transbronchial biopsies demonstrated eosinophil accumulation in alveoli and interstitium and pleural fluid was composed by 85% eosinophils. With the diagnosis of CEP, systemic corticosteroids were used with favorable clinical and radiological response. |
|
dc.format.extent |
5 |
|
dc.language.iso |
spa |
|
dc.publisher |
Sociedad Medica de Santiago |
|
dc.subject |
Eosinophilia |
|
dc.subject |
Lung Diseases |
|
dc.subject |
Pneumonia |
|
dc.subject |
Pulmonary Eosinophilia |
|
dc.title |
Lavado broncoalveolar y derrame pleural con hipereosinofilia. Caso clínico y revisión de la literatura |
|
dc.title.alternative |
Chronic eosinophilic pneumonia. Report of one case |
|
dc.type |
Artículo |
|