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Vol. 10. Issue 4.
Pages 355-364 (July - August 2004)
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Vol. 10. Issue 4.
Pages 355-364 (July - August 2004)
CASO CLÍNICO/CLINICAL CASE
Open Access
Pneumonia eosinofílica aguda com evolução para síndroma de dificuldade respiratória aguda: caso clínico
Acute eosinophilic pneumonia associated with acute respiratoty distress syndrome: case report
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J.P.F. Baptista1, P.C. Casanova1, J.P.A. Sousa2, P.J. Martins2, A. Simões2, V. Fernandes2, J. Souto2, J.J. Costa3, A. Rebelo3, L. Carvalho4, J. Pimentel5
1 Assistente Hospitalar de Medicina Intensiva, Serviço de Medicina Intensiva dos Hospitais da Universidade de Coimbra Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
2 Assistente Hospitalar Graduado de Medicina Intensiva, Serviço de Medicina Intensiva dos Hospitais da Universidade de Coimbra Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
3 Chefe de Serviço de Medicina Intensiva, dos Hospitais da Universidade de Coimbra Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
4 Professora Associada de Anatomia Patológica, Serviço de Medicina Intensiva dos Hospitais da Universidade de Coimbra Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
5 Director do Serviço de Medicina Intensiva, Serviço de Medicina Intensiva dos Hospitais da Universidade de Coimbra Av. Bissaya Barreto e Praceta Prof. Mota Pinto, 3000-075 Coimbra
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RESUMO

Os autores apresentam um caso de pneumonia eosinofílica aguda (PEA) associada a síndroma de dificuldade respiratória aguda grave num adolescente previamente saudável, medicado com nitrofurantoína. A PEA deve ser incluída no diagnóstico diferencial da pneumonia adquirida na comunidade, bem como na lista das patologias causadoras de síndroma de dificuldade respiratória aguda, e o seu diagnóstico deve ser sugerido pela presença de alveolite eosinofílica no líquido de lavagem broncoalveolar. O reconhecimento precoce da PEA e a terapêutica com corticóides pode ser lifesaving.

REV PORT PNEUMOL 2004; X (4): 355-364

Palavras chave:
eosinophilic pneumonia
acute eosinophilic pneumonia
acute respiratory distress syndrome
bronchoalveolar lavage fluid
comunity adquired pneumonia
iatrogeny
nitrofurantoin
Palavras chave:
pneumonia eosinofílica
pneumonia eosinofílica aguda
síndroma de dificuldade respiratória agudo
lavagem broncoalveolar
pneumonia adquirida na comunidade
iatrogenia
nitrofurantoína
ABSTRACT

The Authors present a case of acute eosinophilic pneumonia (AEP) associated with severe acute respiratory distress syndrome in a previously healthy young adult, medicated with nitrofurantoin. AEP must be included in the diferential diagnosis of comunity adquired pneumonia, as well as a cause of acute respiratory distress syndrome; its diagnosis is sugested by the presence of eosinophilic alveolitis in bronchoalveolar lavage fluid. The early diagnosis of AEP and corticosteroid therapy may be lifesaving.

REV PORT PNEUMOL 2004; X (4): 355-364

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Copyright © 2004. Sociedade Portuguesa de Pneumologia/SPP
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