Eosinophilic Pneumonia Following Occupational Smoke Exposure

  • Yogev Peri Department of Internal Medicine B, Meir Medical Center, Kfar Saba, Israel
  • Oshrat Tayer Shifman Department of Internal Medicine B, Meir Medical Center, Kfar Saba, Israel
  • Alon Hershko Department of Internal Medicine B, Meir Medical Center, Kfar Saba, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Keywords

acute eosinophilic pneumonia, occupational exposure, eosinophilia

Abstract

A 21-year-old male patient with a history of occupational exposure to open fire smoke was initially treated with empiric antibiotics for simple community-acquired pneumonia. However, he continued to deteriorate rapidly, developed respiratory failure and needed mechanical ventilation. After possible aetiologies were considered, acute eosinophilic pneumonia was suspected and confirmed by broncho-alveolar lavage. His condition improved dramatically soon after glucocorticoid administration and he was discharged without sequelae. Acute eosinophilic pneumonia should be considered in a patient with a history of exposure to smoke presenting with pneumonia that deteriorates rapidly despite broad antibiotics. An important clue for the diagnosis is eosinophilia in peripheral blood.

VIEW THE ENTIRE ARTICLE

References

  • Rose D, Hrncir D. Primary eosinophilic lung diseases. Allergy Asthma Proc 2013;34:19–25.
  • Allen J. Acute eosinophilic pneumonia. Semin Respir Crit Care Med 2006;27:142–147.
  • Nakajima M, Manabe T, Niki Y, Matsushima T. Cigarette smoke-induced acute eosinophilic pneumonia. Radiology 1998;207:829–831.
  • Brackel C, Ropers F, Vermaas-Fricot S, Koens L, Willems L, Rikkers-Mutsaerts E. Acute eosinophilic pneumonia after recent start of smoking. Lancet 2015;385:1150.
  • Komiya K, Teramoto S, Kawashima M, Kurosaki Y, Shoji S, Hebisawa A. A case of acute eosinophilic pneumonia following short-term passive smoking: an evidence of very high level of urinary cotinine. Allergol Int 2010;59:421–423.
  • Shorr A. Acute eosinophilic pneumonia among US military personnel deployed in or near Iraq. JAMA 2004;292:2997.
  • Rhee C, Min K, Yim N, Lee J, Lee N, Chung M, et al. Clinical characteristics and corticosteroid treatment of acute eosinophilic pneumonia. Eur Resp J 2012;41:402–409.
  • Haw A, Vashistha V, Sanfrancesco J, Factora R. Eosinophilic pneumonia due to occupational exposure. Am J Respir Crit Care Med 191;2015:A4671.
  • Pope-Harman A, Davis W, Allen E, Christoforidis A, Allen J. Acute eosinophilic pneumonia. Medicine 1996;75:334–342.
  • Hayakawa H. A clinical study of idiopathic eosinophilic pneumonia. Chest 1994;105:1462.
  • Daimon T, Johkoh T, Sumikawa H, Honda O, Fujimoto K, Koga T, et al. Acute eosinophilic pneumonia: thin-section CT findings in 29 patients. Eur J Radiol 2008;65:462–467.
  • Fernández Pérez E, Olson A, Frankel S. Eosinophilic lung diseases. Med Clin North Am 2011;95:1163–1187.
  • Gil H, Magy N, Mauny F, Dupond JL. Value of eosinopenia in inflammatory disorders: an ‘old’ marker revisited. Rev Med Interne 2003;24:431–435.
  • Published: 2016-11-28

    Issue: Vol. 3 No. 7 (view)

    Section: Articles

    How to cite:
    1.
    Peri Y, Tayer Shifman O, Hershko A. Eosinophilic Pneumonia Following Occupational Smoke Exposure. EJCRIM 2016;3 doi:10.12890/2016_000494.