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Acute eosinophilic pneumonia after recent start of smoking
Repeat chest radiograph showed progressive bilateral infiltrations and a right-sided pleural effusion, but unexpectedly C-reactive protein had decreased from 92 mg/L to 32 mg/L. Because our patient had a pneumonia that was not resolving with standard antibiotic treatment we widened our differential...
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Published in: | The Lancet (British edition) 2015-03, Vol.385 (9973), p.1150-1150 |
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creator | Brackel, Caroline L H, Dr Ropers, Fabienne G, MD Vermaas-Fricot, Sophie F N, MD Koens, Lianne, MD Willems, Luuk N A, PhD Rikkers-Mutsaerts, Eleonora R V M, MD |
description | Repeat chest radiograph showed progressive bilateral infiltrations and a right-sided pleural effusion, but unexpectedly C-reactive protein had decreased from 92 mg/L to 32 mg/L. Because our patient had a pneumonia that was not resolving with standard antibiotic treatment we widened our differential diagnosis to include antimicrobial failure due to resistant or unusual micro-organisms (such as legionella), infectious complications (such as Staphylococcus aureus empyema), and noninfectious causes such as chemical pneumonitis, eosinophilic pneumonia, vasculitis, or diffuse lung disease.1 We changed the antibiotics to flucloxacillin and ciprofloxacin. |
doi_str_mv | 10.1016/S0140-6736(15)60128-3 |
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subjects | Acute Disease Adolescent Antibiotics Female Humans Internal Medicine Medical diagnosis Medical treatment Pneumonia Pulmonary Eosinophilia - etiology Smoking Smoking - adverse effects |
title | Acute eosinophilic pneumonia after recent start of smoking |
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