Acute Eosinophilic Pneumonia Masquerading as a Lung Abscess

医学 支气管肺泡灌洗 肺脓肿 肺炎 嗜酸性肺炎 肺活检 脓肿 病变 活检 重症监护医学 放射科 病理 外科 内科学
作者
Hua Ren,Qian Zhao,Jiao Jiang,Wen Ye,Ling Zhang,Song Sun,Yingwei Xue,Yan L Ge
出处
期刊:Clinical Laboratory [Clinical Laboratory Publications]
卷期号:69 (10/2023)
标识
DOI:10.7754/clin.lab.2023.230423
摘要

Acute Eosinophilic Pneumonia (AEP) is a rare form of non-infectious pneumonia that is easily missed and misdiagnosed because of its atypical clinical symptoms and misleading laboratory and imaging studies.By reporting a case of an initial diagnosis of lung abscess, which was treated with antibiotics and then CT suggesting that the lesion continued to worsen, it was eventually confirmed to be AEP by lung biopsy, A joint literature analysis was conducted to improve clinicians' understanding of the diagnosis and treatment of AEP.Initially, because of the atypical ancillary findings, we thought the disease was a lung abscess, which was eventually confirmed by pathology as AEP.The presence of AEP needs to be considered when various laboratory findings point to infectious dis-ease, but anti-infection is not effective. Diagnosis can be confirmed by bronchoalveolar lavage and lung tissue biopsy. Prompt treatment can provide rapid relief and reduce the risk of patient death.

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