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Nihon Kyobu Shikkan Gakkai Zasshi ; 29(6): 718-23, 1991 Jun.
Article in Japanese | MEDLINE | ID: mdl-1895587

ABSTRACT

All three patients complained of cough, fever and dyspnea. Their chest X-ray films revealed interstitial changes such as Kerley B lines. The results of lymphocyte stimulation tests were all negative for Minocycline (MINO), whereas the provocation tests were all positive in three cases. The onsets of symptoms appeared 7, 12 and 9 hours after administration of MINO respectively, which suggested type III allergy in terms of the latency period. In cases No. 1 and No. 3, lung tissue specimens obtained by transbronchial biopsy showed findings of mild acute eosinophilic pneumonia. The bronchoalveolar lavage fluid of case No. 3 showed eosinophilia. On diagnosing MINO-induced pneumonitis, the lymphocyte stimulation test is not always beneficial, whereas the provocation test is supposed to be a safe and sure method.


Subject(s)
Minocycline/adverse effects , Pneumonia/chemically induced , Adult , Aged , Bronchi/pathology , Bronchial Provocation Tests , Bronchoalveolar Lavage Fluid/pathology , Eosinophilia/pathology , Humans , Lymphocyte Activation , Male , Pneumonia/diagnosis , Pneumonia/pathology
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