title: Acute eosinophilic pneumonia associated with shock.
abstract: OBJECTIVE
  To describe an unusual case of acute eosinophilic pneumonia (AEP) associated with hemodynamic instability.
  
  
  METHODS
  Case report, clinical.
  
  
  METHODS
  Tertiary care intensive care unit (ICU).
  
  
  METHODS
  A single patient admitted to the ICU.
  
  
  METHODS
  Intravenous corticosteroids.
  
  
  RESULTS
  Resolution of distributive shock and respiratory failure.
  
  
  CONCLUSIONS
  AEP with respiratory failure was first reported in 1989 as a distinct clinical entity. Patients with this variant of eosinophilic lung disease develop acute hypoxemic respiratory failure with a rapid response to treatment with corticosteroids, The characteristic feature of this syndrome is a predominance of eosinophils found in bronchoalveolar lavage fluid and lung biopsy. Despite the increasing number of reported cases, to our knowledge, distributive shock has not been reported as a feature of AEP. We report a unique case of AEP associated with shock and review the pertinent literature.
authors.affiliation: Division of Pulmonary and Critical Care, Albany Medical College, NY, USA.
authors.forename: V L
authors.initials: VL
authors.lastname: Buddharaju
authors.forename: J L
authors.initials: JL
authors.lastname: Saraceno
authors.forename: J M
authors.initials: JM
authors.lastname: Rosen
authors.forename: S D
authors.initials: SD
authors.lastname: Spivack
authors.forename: T C
authors.initials: TC
authors.lastname: Smith
authors.forename: R
authors.initials: R
authors.lastname: Ilves
authors.forename: D A
authors.initials: DA
authors.lastname: Killam
authors.forename: B J
authors.initials: BJ
authors.lastname: McKenna
mesh_terms: D000208:Acute Disease; D000328:Adult; D001992:Bronchoalveolar Lavage Fluid; D006801:Humans; D008297:Male; D011657:Pulmonary Eosinophilia / Q000150:complications* / Q000175:diagnosis; D012131:Respiratory Insufficiency / Q000209:etiology; D012769:Shock / Q000209:etiology*