Abstract

CASTANER HERRERA, Juan F.; MARTINEZ-APARICIO HERNANDEZ, Alfredo; CASTANER AVERHOFF, Francisco J.  and  ORAMAS REYES, Alberto. Chronic recurrent eosinophilic pneumonia: A clinical case report. Considerations on this topic. Rev cubana med [online]. 2005, vol.44, n.3-4, pp. 0-0. ISSN 1561-302X.

A patient with history of bronchial asthma of approximately 2 years of evolution that was fond of raising chickens and used bronchodilators occasionally was presented. In 2 months, he developed a progressive picture of fever, taking of the general state, dyspnea, cough, and loss of weight. In a thorax X-ray, it was observed subpleural peripheral infiltrate of interstitial pneumonic aspect, and in the hematological examination he had a leukocyte count with a marked increase of eosinophils. A strong interstitial and intraalveolar eosinophilic infiltrate was found in the lung biopsy. The elevation of the IgE values and the way in which the studies to determine a causal agent were unsuccessful called our attention. The absence of improvement with antibiotics and the picture profile led us to administer corticosteroid treatment that was followed by a surprising improvement of all the indicators and the patient's discharge in 6 days. His absolute count of eosinophils became normal in a week and the value of IgG in 3 weeks. During the intercrisis he was treated with low doses of oral steroids or inhalers, with which stability was achieved for 5 years, when he had a relapse in a similar episode of symptoms, laboratory and radiological data with an outcome similar to the previous one. Recurrent chronic eosinophilic pneumonia was diagnosed. The most relational differential diagnoses were discussed in this paper.

Keywords : Chronic relapsing eosinophilic pneumonia.

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