Buddharaju V L, Saraceno J L, Rosen J M, Spivack S D, Smith T C, Ilves R, Killam D A, McKenna B J
Division of Pulmonary and Critical Care, Albany Medical College, NY, USA.
Crit Care Med. 1999 Sep;27(9):2014-6. doi: 10.1097/00003246-199909000-00048.
To describe an unusual case of acute eosinophilic pneumonia (AEP) associated with hemodynamic instability.
Case report, clinical.
Tertiary care intensive care unit (ICU).
A single patient admitted to the ICU.
Intravenous corticosteroids.
Resolution of distributive shock and respiratory failure.
AEP with respiratory failure was first reported in 1989 as a distinct clinical entity. Patients with this variant of eosinophilic lung disease develop acute hypoxemic respiratory failure with a rapid response to treatment with corticosteroids, The characteristic feature of this syndrome is a predominance of eosinophils found in bronchoalveolar lavage fluid and lung biopsy. Despite the increasing number of reported cases, to our knowledge, distributive shock has not been reported as a feature of AEP. We report a unique case of AEP associated with shock and review the pertinent literature.
描述一例伴有血流动力学不稳定的急性嗜酸性粒细胞性肺炎（AEP）的罕见病例。
临床病例报告。
三级医疗重症监护病房（ICU）。
一名入住ICU的患者。
静脉注射皮质类固醇。
分布性休克和呼吸衰竭得到缓解。
伴有呼吸衰竭的AEP于1989年首次作为一种独特的临床实体被报道。患有这种嗜酸性粒细胞性肺病变体的患者会出现急性低氧性呼吸衰竭，对皮质类固醇治疗反应迅速。该综合征的特征性表现是在支气管肺泡灌洗液和肺活检中发现嗜酸性粒细胞占优势。尽管报道的病例数量不断增加，但据我们所知，分布性休克尚未作为AEP的特征被报道。我们报告一例与休克相关的AEP独特病例并复习相关文献。
