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CHRONIC EOSINOPHILIC PNEUMONIA. REPORT OF ONE CASE

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

dc.contributoren-US
dc.contributores-ES
dc.creatorFernández-Bussy, Sebastián; Section of neumologia intervencional, Clinica Alemana-Universidad del Desarrollo, Santiago. Chile
dc.creatorCampos, Felipe; Section of neumologia intervencional, Clinica Alemana-Universidad del Desarrollo, Santiago. Chile
dc.creatorOgueta, Isabel; Interno de medicina, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago. Chile
dc.creatorLabarca, Gonzalo; Pontificia Universidad Catolica de Chile
dc.creatorCabello, Hernán; Departmento de Enfermedades respiratorias, Clinica Alemana-Universidad del Desarrollo, Santiago. Chile
dc.date2016-01-11
dc.date.accessioned2019-11-11T18:27:55Z
dc.date.available2019-11-11T18:27:55Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/4491
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/111374
dc.descriptionChronic 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 years 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.en-US
dc.descriptionChronic 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 years 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.es-ES
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dc.languagespa
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/4491/1828
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dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/4491/21244
dc.sourceRevista Médica de Chile; Vol. 144, núm. 2 (2016): FEBRERO 2016es-ES
dc.source0034-9887
dc.subjectEosinophilia; Lung Diseases; Pneumonia; Pulmonary Eosinophiliaen-US
dc.subjectEosinophilia; Lung Diseases; Pneumonia; Pulmonary Eosinophiliaes-ES
dc.titleCHRONIC EOSINOPHILIC PNEUMONIA. REPORT OF ONE CASEen-US
dc.titleLavado broncoalveolar y derrame pleural con hipereosinofilia. Caso clínico y revisión de la literaturaes-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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