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KMID : 1033220140040020091
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Journal of Acute Care Surgery
2014 Volume.4 No. 2 p.91 ~ p.94
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Postoperative Idiopathic Acute Eosinophilic Pneumonia
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Gil Eun-Mi
Park Chi-Min
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Abstract
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Idiopathic acute eosinophilic pneumonia (AEP) is a rare disease characterized by acute febrile illness, hypoxemia, pulmonary infiltrates and pulmonary eosinophilia. We report a case of a 75-year-old man with AEP four days after radical total gastrectomy. He developed acute respiratory failure despite having no history of the disease. Computed tomography of the lung revealed diffuse bilateral pulmonary infiltrates. Bronchoalveolar lavage and lung biopsy specimens revealed marked eosinophil infiltration in the alveolar septa. He required intubation with mechanical ventilation due to rapidly progressive respiratory failure, but his clinical condition and chest radiographs improved dramatically after corticosteroid treatment.
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KEYWORD
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Pulmonary eosinophila, Bronchoalveolar lavage, Acute respiratory distress syndrome
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