Son Bui-Binh-Bao, Kim-Hoa Nguyen-Thi, Tuy Nguyen-Van, Phu Nguyen-Manh, Nam-Anh Nguyen-Duy
Department of Pediatrics, Hue University of Medicine and Pharmacy, Hue University, Viet Nam.
Pediatric Center, Hue Central Hospital, Viet Nam.
Respir Med Case Rep. 2022 Mar 21;37:101638. doi: 10.1016/j.rmcr.2022.101638. eCollection 2022.
Loeffler's syndrome is a rare and benign eosinophilic pneumonia which is commonly transient and self-limiting. Herein we report a 12-year-old boy who presented with dry cough, hemoptysis, chest pain, no fever and diminished breath sounds on the right lung. Chest imaging showed a consolidation lesion with bronchograms in the right upper and middle lobes, accompanied by a right free-flowing pleural effusion. Laboratory studies showed elevated C-reactive protein levels, and an eosinophil count of 13.7%. A lung biopsy was performed to diagnose the Loeffler's syndrome. The patient's condition was improving significantly with antibiotic therapy and is now followed up closely.
吕弗勒综合征是一种罕见的良性嗜酸性粒细胞性肺炎,通常具有短暂性和自限性。在此,我们报告一名12岁男孩,他表现为干咳、咯血、胸痛,无发热,右肺呼吸音减弱。胸部影像学显示右上叶和中叶有实变病灶伴支气管造影征,伴有右侧胸腔自由流动的胸腔积液。实验室检查显示C反应蛋白水平升高,嗜酸性粒细胞计数为13.7%。进行了肺活检以诊断吕弗勒综合征。患者在接受抗生素治疗后病情显著改善,目前正在密切随访。