DOI: 10.12890/2015_000201
The Consequences of Not Looking at the Eosinophil Count: Pulmonary Infiltrates and Eosinophilia Syndrome (PIE) Probably Caused by Ciprofloxacin
Authors
martinadeltorre@gmail.com
Keywords
Ciprofloxacin, eosinophil count, pulmonary infiltrates.Abstract
Objectives: To describe a case of pulmonary infiltrates and eosinophilia (PIE syndrome) probably caused by ciprofloxacin.
Materials and methods: A 64-year-old woman was admitted to our department with suspected hospital-acquired pneumonia and treated with antibiotics. She had no symptoms but had peripheral eosinophilia. She had recently been given ciprofloxacin for a urinary tract infection.
Results: The patient spontaneously improved after exhaustive negative investigations.
Conclusion: We concluded that this patient had PIE syndrome probably caused by ciprofloxacin.
References
- Siegenthaler W. Significance of individual findings for the differentiation of febrile states. In: Differential Diagnosis in Internal Medicine. New York: Thieme; 2007, p. 199.
- Allen JN, Davis WB. Eosinophilic lung diseases. Am J Respir Crit Care Med 1994;150:1423–1438.
- Fujimura M, Yasui M, Shinagawa S, Nomura M, Matsuda T. Bronchoalveolar lavage cell findings in three types of eosinophilic pneumonia: acute, chronic and drug-induced eosinophilic pneumonia. Respir Med 1998;92:743–749.
- Kim Y, Lee KS, Choi DC, Primack SL, Im JG. The spectrum of eosinophilic lung disease: radiologic findings. J Comput Assist Tomogr 1997;21:920–930.
- Steiger D, Bubendorf L, Oberholzer M, Tamm M, Leupp JD. Ciprofloxacin-induced acute interstitial pneumonitis. Eur Respir J 2004;23:172–174.