[Acute forms of diffuse interstitial hypoxemic pneumonia in immunocompetent patients].
The large majority of patients with acute respiratory failure present diffuse pulmonary opacities resulting from pulmonary embolism, intra-alveolar hemorrhage, or a classical cause of ARDS. In a small number of patients however, these opacities correspond to diffuse interstitial pneumonia. This should be suspected in light of the context, the time of formation, and the unusual respiratory and/or extrarespiratory signs. If there is a clinical doubt, thoracic scan and bronchoalveolar lavage should be performed together with infectious and immunology tests. Treatment depends on the cause and/or the type of lesion.
Mayaud
C
C
Service de Pneumologie et de Réanimation Respiratoire, Hôpital Tenon, 4 rue de la Chine, 75970 Paris. charles.mayaud@tnn.ap-hop-paris.fr
Fartoukh
M
M
Prigent
H
H
Lavolé
A
A
Gounand
V
V
Parrot
A
A
D000208:Acute Disease; D018893:Bronchoalveolar Lavage; D003937:Diagnosis, Differential; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D007121:Immunocompetence; D017563:Lung Diseases, Interstitial / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography; D012131:Respiratory Insufficiency / Q000209:etiology