CHRONIC EOSINOPHILIC PNEUMONIA WITH ATYPICAL PRESENTATION IN PATIENT WITH HEART FAILURE – CASE REPORT
Abstract
Backgrounds. Chronic eosinophilic pneumonia
(CEP) is a rare disorder characterized by eosinophilic pulmonary
infiltrates and progressive respiratory failure.
Patient and method. A 78-years old male with heart failure
presented with progressive dyspnea, persistent cough and respiratory
failure. Chest radiograph showed bilateral pulmonary
infiltrates. His physical deterioration progressed after
cardiac recompensation. Pulmonary infiltrates resolved and
presenting symptoms disappeared during steroid treatment.
Despite of atypical radiographic presentation laboratory changes
and histological examination confirmed the diagnosis of
chronic eosinophilic pneumonia.
Conclusions. Chronic eosinophilic pneumonia is a rare disease,
but it should be considered even in older patients with
heart failure, when peripheral blood eosinophilia and pulmonary
infiltrates hardly explainable only with left-sided heart
failure are present.
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