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Acute eosinophilic pneumonia associated with shock
V L Buddharaju1, J L Saraceno, J M Rosen
1Division of Pulmonary and Critical Care, Albany Medical College, NY, USA.
Objective:
To describe an unusual case of acute eosinophilic pneumonia (AEP) associated with hemodynamic instability.
Design:
Case report, clinical.
Settings:
Tertiary care intensive care unit (ICU).
Patient:
A single patient admitted to the ICU.
Interventions:
Intravenous corticosteroids.
Measurements And Main Results:
Resolution of distributive shock and respiratory failure.
Conclusions:
AEP with respiratory failure was first reported in 1989 as a distinct clinical entity. Patients with this variant of eosinophilic lung disease develop acute hypoxemic respiratory failure with a rapid response to treatment with corticosteroids, The characteristic feature of this syndrome is a predominance of eosinophils found in bronchoalveolar lavage fluid and lung biopsy. Despite the increasing number of reported cases, to our knowledge, distributive shock has not been reported as a feature of AEP. We report a unique case of AEP associated with shock and review the pertinent literature.