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Lavado broncoalveolar y derrame pleural con hipereosinofilia: caso clínico y revisión de la literatura / Chronic eosinophilic pneumonia: report of one case

Fernández-Bussy, Sebastián; Campos, Felipe; Ogueta, Isabel; Labarca, Gonzalo; Cabello, Hernán.
Rev. méd. Chile ; 144(2): 262-266, feb. 2016. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-779495
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.
Biblioteca responsável: CL1.1