Lavado broncoalveolar y derrame pleural con hipereosinofilia. Caso clínico y revisión de la literatura

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dc.contributor.authorFernández-Bussy, Sebastián
dc.contributor.authorCampos, Felipe
dc.contributor.authorOgueta, Isabel
dc.contributor.authorLabarca, Gonzalo
dc.contributor.authorCabello, Hernán
dc.date.accessioned2017-05-10T12:26:59Z
dc.date.available2017-05-10T12:26:59Z
dc.date.issued2016
dc.description.abstractChronic 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.extent5
dc.identifier.citationFernández-Bussy S, Campos F, Ogueta I, Labarca G, Cabello H. Lavado broncoalveolar y derrame pleural con hipereosinofilia: Caso clínico y revisión de la literatura [Chronic eosinophilic pneumonia: Report of one case]. Rev Med Chil. 2016 Feb;144(2):262-6.
dc.identifier.urihttp://hdl.handle.net/11447/1213
dc.identifier.urihttps://doi.org/10.4067/S0034-98872016000200017
dc.language.isospa
dc.publisherSociedad Medica de Santiago
dc.subjectEosinophilia
dc.subjectLung Diseases
dc.subjectPneumonia
dc.subjectPulmonary Eosinophilia
dc.titleLavado broncoalveolar y derrame pleural con hipereosinofilia. Caso clínico y revisión de la literatura
dc.title.alternativeChronic eosinophilic pneumonia. Report of one case
dc.typeArtículo

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