Smoking-Induced Acute Eosinophilic Pneumonia in a 15-year-old Girl: A Case Report

被引:2
作者
Youn, Ji-Seok [1 ]
Kwon, Ji-Won [1 ]
Kim, Byoung-Ju [1 ]
Hong, Soo-Jong [1 ]
机构
[1] Univ Ulsan, Dept Pediat, Childhood Asthma Atopy Ctr, Asan Med Ctr,Coll Med, Seoul 138736, South Korea
关键词
Pulmonary eosinophilia; smoking; adolescent; bronchoalveolar lavage fluid; CIGARETTE-SMOKING;
D O I
10.4168/aair.2010.2.2.144
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Acute eosinophilic pneumonia is a very rare disease that is characterized by acute febrile respiratory failure, diffuse bilateral infiltrates on chest X-ray, and eosinophilia in bronchoalveolar lavage fluid in the absence of infection. We present the case of a 15-year-old girl diagnosed with smoking-induced acute eosinophilic pneumonia. A previously healthy young girl with a 1-day history of fever presented with cough, dyspnea, and diffuse bilateral infiltrates on chest X-ray. She had started smoking only 3 weeks before presentation. She was diagnosed by bronchoalveolar lavage fluid tests and lung biopsy and dramatically improved after steroid treatment. We emphasize that acute eosinophilic pneumonia must be considered when acute pneumonia does not respond to broad-spectrum antibiotics. Effective treatment and prompt institution of therapy can obviate unnecessary morbidity and mortality.
引用
收藏
页码:144 / 148
页数:5
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