Acute eosinophilic pneumonia associated with smoke from fireworks.
We report a case of acute eosinophilic pneumonia (AEP). Although the patient had been a habitual cigarette smoker for over 4 months, he had had not any respiratory distress. After he inhaled smoke from fireworks for 3 consecutive nights, the patient began to complain of cough, fever and dyspnea. He showed leukocytosis of 16,200/microl and hypoxemia of 58.1 torr. Chest radiograph showed bilateral infiltrates with Kerley A and B lines. The bronchoalveolar lavage fluid revealed 38.5% eosinophils. He was diagnosed as AEP. In this patient, inhaling of smoke from fireworks was clinically suspected to be associated with the induction of AEP.
Hirai
K
K
Department of Internal Medicine, Nagano Municipal Hospital.
Yamazaki
Y
Y
Okada
K
K
Furuta
S
S
Kubo
K
K
D000208:Acute Disease; D000293:Adolescent; D005390:Fires; D016179:Granulocyte Colony-Stimulating Factor / Q000097:blood; D016178:Granulocyte-Macrophage Colony-Stimulating Factor / Q000097:blood; D006801:Humans; D016209:Interleukin-8 / Q000097:blood; D007964:Leukocytosis / Q000097:blood / Q000209:etiology; D008297:Male; D009504:Neutrophils; D011657:Pulmonary Eosinophilia / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D012906:Smoke / Q000009:adverse effects*
D016209:Interleukin-8; D012906:Smoke; D016179:Granulocyte Colony-Stimulating Factor; D016178:Granulocyte-Macrophage Colony-Stimulating Factor