[Dyspnea, fever].

Abstract

A 28-year-old female with known allergic bronchial asthma complained about increasing dyspnea, white sputum and fever. Pulmonary infiltrates progressed in spite of tetracycline administration. An increased leucocyte count, eosinophilia and an elevated sedimentation rate were found. Bronchoscopy was unrevealing except for signs of mild bronchitis. Eosinophils were abundant in the bronchial lavage. Eosinophilic pneumonia was diagnosed in a biopsy specimen. Prednisolone (100 mg/die initially, decreasing doses thereafter) led to significant reduction of infiltrates and eosinophilia. After 8 weeks of treatment the patient had completely recovered.

• Authors: U R Juergens, A Overlack, H Vetter
• Journal: Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis (Schweiz Rundsch Med Prax) Vol. 78 Issue 46 Pg. 1293-6 (Nov 14 1989) ISSN: 1013-2058 [Print] Switzerland
• Vernacular Title: Dyspnoe, Fieber.
• PMID: 2814121 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Prednisolone

Topics

• Adult
• Diagnosis, Differential
• Dyspnea (etiology)
• Female
• Fever (etiology)
• Humans
• Prednisolone (therapeutic use)
• Pulmonary Eosinophilia (complications, diagnosis, drug therapy)