Acute eosinophilic pneumonia associated with smoke from fireworks

被引:70
作者
Hirai, K [1 ]
Yamazaki, T [1 ]
Okada, K [1 ]
Furuta, S [1 ]
Kubo, K [1 ]
机构
[1] Nagano Municipal Hosp, Dept Internal Med, Nagano 3818551, Japan
关键词
bronchoalveolar lavage fluid; leukocytosis; interleukin (IL)-5; granulocyte macrophage colony stimulating factor (GM-CSF);
D O I
10.2169/internalmedicine.39.401
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case of acute eosinophilic pneumonia (AEP). Although the patient had been a habitual cigarette smoker for over it months, he had had not any respiratory distress. After he inhaled smoke from fireworks for 3 consecutive nights, the patient began to complain of cough, fever and dyspnea. He showed leukocytosis of 16,200/mu l and hypoxemia of 58.1 torr. Chest radiograph showed bilateral infiltrates with Kerley A and B lines. The bronchoalveolar lavage fluid revealed 38.5% eosinophils. He was diagnosed as AEP. In this patient, inhaling of smoke from fireworks was clinically suspected to be associated with the induction of AEP.
引用
收藏
页码:401 / 403
页数:3
相关论文
共 10 条
[1]   ACUTE EOSINOPHILIC PNEUMONIA AS A REVERSIBLE CAUSE OF NONINFECTIOUS RESPIRATORY-FAILURE [J].
ALLEN, JN ;
PACHT, ER ;
GADEK, JE ;
DAVIS, WB .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 321 (09) :569-574
[2]   PULMONARY INFILTRATES WITH EOSINOPHILIA ASSOCIATED WITH TETRACYCLINE [J].
HO, D ;
TASHKIN, DP ;
BEIN, ME ;
SHARMA, O .
CHEST, 1979, 76 (01) :33-36
[3]   Possible involvement of an environmental agent in the development of acute eosinophilic pneumonia [J].
Imokawa, S ;
Sato, A ;
Hayakawa, H ;
Toyoshima, M ;
Taniguchi, M ;
Chida, K .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 1996, 76 (05) :419-422
[4]  
KAWAMURA T, 1997, JPN J THORAC DIS, V35, P1252
[5]   A CASE OF ACUTE EOSINOPHILIC PNEUMONIA CAUSED BY INHALATION OF TRICHOSPORON TERRESTRE [J].
MIYAZAKI, E ;
SUGISAKI, K ;
SHIGENAGA, T ;
MATSUMOTO, T ;
KITA, S ;
INOBE, Y ;
TSUDA, T .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1995, 151 (02) :541-543
[6]   Cigarette smoke-induced acute eosinophilic pneumonia [J].
Nakajima, M ;
Manabe, T ;
Niki, Y ;
Matsushima, T .
RADIOLOGY, 1998, 207 (03) :829-831
[7]  
OKUBO Y, 1995, AM J RESP CRIT CARE, V151, P1259
[8]   Predominant implication of IL-5 in acute eosinophilic pneumonia: Comparison with chronic eosinophilic pneumonia [J].
Okubo, Y ;
Horie, S ;
Hachiya, T ;
Momose, T ;
Tsukadaira, A ;
Takashi, S ;
Suzuki, J ;
Isobe, M ;
Sekiguchi, M .
INTERNATIONAL ARCHIVES OF ALLERGY AND IMMUNOLOGY, 1998, 116 (01) :76-80
[9]   Activation of lymphocytes and increased interleukin-5 levels in bronchoalveolar lavage fluid in acute eosinophilic pneumonia [J].
Taniguchi, H ;
Kadota, J ;
Fujii, T ;
Matsubara, Y ;
Katoh, S ;
Mukae, H ;
Matsukura, S ;
Kohno, S .
EUROPEAN RESPIRATORY JOURNAL, 1999, 13 (01) :217-220
[10]   IL-5 PREDOMINANT IN BRONCHOALVEOLAR LAVAGE FLUID AND PERIPHERAL-BLOOD IN A PATIENT WITH ACUTE EOSINOPHILIC PNEUMONIA [J].
YAMAGUCHI, S ;
OKUBO, Y ;
HOSSAIN, M ;
FUJIMOTO, K ;
HONDA, T ;
KUBO, K ;
SEKIGUCHI, M ;
TAKATSU, K .
INTERNAL MEDICINE, 1995, 34 (01) :65-68