医学
嗜酸性肺炎
嗜酸性粒细胞增多症
支气管肺泡灌洗
肺炎
肺嗜酸性粒细胞增多
哮喘
嗜酸性
胃肠病学
麻醉
嗜酸性粒细胞
托吡酯
支气管镜检查
儿科
内科学
病理
外科
癫痫
肺
精神科
作者
R. P. S. Tyagi,Monika Aggarwal,Utkarsh Suyal,Indramani Pandey
出处
期刊:Case Reports
[BMJ]
日期:2024-09-01
卷期号:17 (9): e261220-e261220
被引量:1
标识
DOI:10.1136/bcr-2024-261220
摘要
A man in his 40s with a known history of alcohol dependence syndrome was admitted with presenting symptoms of alcohol withdrawal. During his admission, he developed breathlessness, cough and wheezing. Investigations revealed raised absolute eosinophil count and serum IgE levels. Chest imaging showed ill-defined opacities and fibreoptic bronchoscopy with bronchoalveolar lavage confirmed eosinophilic pneumonia. Extensive workup for the cause of eosinophilia was negative. The patient’s medicines were reviewed, and it was realised that the onset of eosinophilia occurred after starting topiramate for an alcohol withdrawal seizure. The drug was stopped, leading to the complete resolution of symptoms and radiological abnormalities. This case highlights the importance of considering drug-induced causes of eosinophilic pneumonia.
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