| Postoperative Idiopathic Acute Eosinophilic Pneumonia |
| 수술 후 발생한 급성 호산구성 폐렴 1예 |
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길은미*ㆍ박치민*,† |
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성균관대학교 삼성서울병원 *중환자의학과, †외과 |
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Received: 7 October 2014 • Revised: 20 October 2014 • Accepted: 20 October 2014 |
| Abstract |
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Idiopathic acute eosinophilic pneumonia (AEP) is a rare disease characterized by acute febrile illness, hypoxemia, pulmonary infiltrates and pulmonary eosinophilia. We report a case of a 75-year-old man with AEP four days after radical total gastrectomy. He developed acute respiratory failure despite having no history of the disease. Computed tomography of the lung revealed diffuse bilateral pulmonary infiltrates. Bronchoalveolar lavage and lung biopsy specimens revealed marked eosinophil infiltration in the alveolar septa. He required intubation with mechanical ventilation due to rapidly progressive respiratory failure, but his clinical condition and chest radiographs improved dramatically after corticosteroid treatment. (J Acute Care Surg 2014;4:91-94) |
| Key Words:
Pulmonary eosinophila, Bronchoalveolar lavage, Acute respiratory distress syndrome |
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