艾滋病相关性急性嗜酸性粒细胞性肺炎

Acute eosinophilic pneumonia in AIDS.

作者信息

Glazer C S, Cohen L B, Schwarz M I

机构信息

Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado Health Sciences Center, Denver, CO 80262, USA.

出版信息

Chest. 2001 Nov;120(5):1732-5. doi: 10.1378/chest.120.5.1732.

DOI:10.1378/chest.120.5.1732

PMID:11713161

Abstract

A 39-year-old man with AIDS presented with acute respiratory distress and diffuse bilateral infiltrates seen on a chest radiograph. Acute eosinophilic pneumonia (AEP) was diagnosed by thoracoscopic lung biopsy. There was no evidence of an infectious etiology, and the patient rapidly improved with corticosteroid therapy. Several of the idiopathic interstitial pneumonias have been reported in adult patients with AIDS. To our knowledge, this case represents the first tissue-confirmed case of AEP associated with adult AIDS.

摘要

一名39岁的艾滋病男性患者出现急性呼吸窘迫，胸部X线片显示双侧弥漫性浸润。经胸腔镜肺活检诊断为急性嗜酸性粒细胞性肺炎（AEP）。没有感染病因的证据，患者接受皮质类固醇治疗后迅速好转。在成年艾滋病患者中已报告了几种特发性间质性肺炎。据我们所知，该病例是首例经组织证实的与成年艾滋病相关的AEP病例。