Lavado broncoalveolar y derrame pleural con hipereosinofilia: Caso clínico y revisión de la literatura

Chronic eosinophilic pneumonia (CEP) is uncommon and predominantly seen in women. More than 6% of eosinophils in peripheral blood and more than 25% in bronchoalveolar lavage are diagnostic criteria. Secondary causes of hypereosinophilic pneumonia must be ruled out. We report a 72-year-old non-smoker...

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Autores principales:	Fernández-Bussy,Sebastián, Campos,Felipe, Ogueta,Isabel, Labarca,Gonzalo, Cabello,Hernán
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Eosinophilia Lung Diseases Pneumonia Pulmonary Eosinophilia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000200017
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spelling	oai:scielo:S0034-988720160002000172016-04-13Lavado broncoalveolar y derrame pleural con hipereosinofilia: Caso clínico y revisión de la literaturaFernández-Bussy,SebastiánCampos,FelipeOgueta,IsabelLabarca,GonzaloCabello,Hernán Eosinophilia Lung Diseases Pneumonia Pulmonary Eosinophilia Chronic eosinophilic pneumonia (CEP) is uncommon and predominantly seen in women. More than 6% of eosinophils in peripheral blood and more than 25% in bronchoalveolar lavage are diagnostic criteria. Secondary causes of hypereosinophilic pneumonia must be ruled out. We report a 72-year-old non-smoker man presenting in the emergency room with a history of cough, fever, and moderate dyspnea. He was not taking any medication. A chest-X ray showed a left lower lobe (LLL) consolidation, and was started on broad-spectrum antibiotics with a presumptive diagnosis of pneumonia. There was no improvement after therapy. A chest CT scan showed increased LLL consolidation and new left upper lobe ground glass opacities as well as a moderate left pleural effusion. Flexible bronchoscopy was performed and bronchoalveolar lavage showed 95% eosinophils, and had negative cultures. No parasites were identified. Transbronchial biopsies demonstrated eosinophil accumulation in alveoli and interstitium and pleural fluid was composed by 85% eosinophils. With the diagnosis of CEP, systemic corticosteroids were used with favorable clinical and radiological response.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.2 20162016-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000200017es10.4067/S0034-98872016000200017
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Eosinophilia Lung Diseases Pneumonia Pulmonary Eosinophilia
spellingShingle	Eosinophilia Lung Diseases Pneumonia Pulmonary Eosinophilia Fernández-Bussy,Sebastián Campos,Felipe Ogueta,Isabel Labarca,Gonzalo Cabello,Hernán Lavado broncoalveolar y derrame pleural con hipereosinofilia: Caso clínico y revisión de la literatura
description	Chronic eosinophilic pneumonia (CEP) is uncommon and predominantly seen in women. More than 6% of eosinophils in peripheral blood and more than 25% in bronchoalveolar lavage are diagnostic criteria. Secondary causes of hypereosinophilic pneumonia must be ruled out. We report a 72-year-old non-smoker man presenting in the emergency room with a history of cough, fever, and moderate dyspnea. He was not taking any medication. A chest-X ray showed a left lower lobe (LLL) consolidation, and was started on broad-spectrum antibiotics with a presumptive diagnosis of pneumonia. There was no improvement after therapy. A chest CT scan showed increased LLL consolidation and new left upper lobe ground glass opacities as well as a moderate left pleural effusion. Flexible bronchoscopy was performed and bronchoalveolar lavage showed 95% eosinophils, and had negative cultures. No parasites were identified. Transbronchial biopsies demonstrated eosinophil accumulation in alveoli and interstitium and pleural fluid was composed by 85% eosinophils. With the diagnosis of CEP, systemic corticosteroids were used with favorable clinical and radiological response.
author	Fernández-Bussy,Sebastián Campos,Felipe Ogueta,Isabel Labarca,Gonzalo Cabello,Hernán
author_facet	Fernández-Bussy,Sebastián Campos,Felipe Ogueta,Isabel Labarca,Gonzalo Cabello,Hernán
author_sort	Fernández-Bussy,Sebastián
title	Lavado broncoalveolar y derrame pleural con hipereosinofilia: Caso clínico y revisión de la literatura
title_short	Lavado broncoalveolar y derrame pleural con hipereosinofilia: Caso clínico y revisión de la literatura
title_full	Lavado broncoalveolar y derrame pleural con hipereosinofilia: Caso clínico y revisión de la literatura
title_fullStr	Lavado broncoalveolar y derrame pleural con hipereosinofilia: Caso clínico y revisión de la literatura
title_full_unstemmed	Lavado broncoalveolar y derrame pleural con hipereosinofilia: Caso clínico y revisión de la literatura
title_sort	lavado broncoalveolar y derrame pleural con hipereosinofilia: caso clínico y revisión de la literatura
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000200017
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Lavado broncoalveolar y derrame pleural con hipereosinofilia: Caso clínico y revisión de la literatura

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