CHRONIC EOSINOPHILIC PNEUMONIA WITH ATYPICAL PRESENTATION IN PATIENT WITH HEART FAILURE – CASE REPORT
Keywords:
chronic eosinophilic pneumonia, heart failureAbstract
Backgrounds. Chronic eosinophilic pneumonia
(CEP) is a rare disorder characterized by eosinophilic pulmonary
infiltrates and progressive respiratory failure.
Patient and method. A 78-years old male with heart failure
presented with progressive dyspnea, persistent cough and respiratory
failure. Chest radiograph showed bilateral pulmonary
infiltrates. His physical deterioration progressed after
cardiac recompensation. Pulmonary infiltrates resolved and
presenting symptoms disappeared during steroid treatment.
Despite of atypical radiographic presentation laboratory changes
and histological examination confirmed the diagnosis of
chronic eosinophilic pneumonia.
Conclusions. Chronic eosinophilic pneumonia is a rare disease,
but it should be considered even in older patients with
heart failure, when peripheral blood eosinophilia and pulmonary
infiltrates hardly explainable only with left-sided heart
failure are present.
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References
pneumonia: the photographic negative of pulmonary edema. AJR Am J
Roentgenol 1977; 128 (1): 1-13.
2. Jederlinic PJ, Sicilian L, Gaensler A. Chronic eosinophilic pneumonia, a
report of 19 cases and a review of literature. Medicine 1988; 67/3: 154-62.
3. Newman Taylor A. Pulmonary eosinophilia: the eosinophilic pneumonias.
In: Olivieri D, du Bois RM eds. European Respiratory Monograph. Interstitial
Lung Diseases. European Respiratory Journals Ltd.; 14: 218-21.
4. Dejaegher P, Derveaux L, Dubois P, Demedts M. Eosinophilic pneumonia
without roentgenographic pulmonary infiltrates. Chest 1983; 84: 637-8.
5. Matsuse H, Shimoda T, Fukushima C, Matsuo N, Sakai H, Takao A, Asai S,
Kohno S. Diagnostic problems in chronic eosinophilic pneumonia. J Int
Med Res. 1977; 25: 196-201.
6. Gonzalez EB, Hayes D, Weedn VW. Chronic eosinophilic pneumonia
(Carrington’s) with increased serum IgE levels. A distinct subset? Arch
Intern Med 1988; 148: 2622-4.
7. Nakhosteen JA, Niederle N, Zavala DC. Atlas und Lehrbuch der Bronchoskopie.
Berlin-Heidelberg-New York: Springer Verlag, 1989: 43–3.
8. Šorli J. Uvod v tehniko fiberbronhoskopije. Golnik: Inštitut za pljučne
bolezni in TBC, 1984: 28–8.
9. Marchand E, Reynaud-Gaubert M, Lauque D, Durieu J, Tonnel A, Cordier JF.
Idiopathic chronic eosinophilic pneumonia. A clinical and follow-up study
of 62 cases. The Groupe d’Etudes et de Recherche sur les Maladies »Orphelines
« Pulmonaires (GERM »O«P). Medicine (Baltimore) 1998; 77: 299-312.
10. Laufs U, Schneider C, Wasserman K, Erdmann E. Chronic eosinophilic
pneumonia with atypical radiographic presentation. Respiration 1998; 65
(4): 323-6.
11. Naughton M, Fahy J, Fitzgerald MX. Chronic eosinophilic pneumonia. A
long-term follow-up of 12 patients. Chest 1993; 103: 162-5.
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