[Amiodarone pneumonitis with Hypermastigote lung infection: a case report and review of the literatures].
OBJECTIVE
To describe the clinical features of amiodarone pneumonitis with Hypermastigote lung infection.


METHODS
Case report and review of the related literatures. The clinical symptoms, laboratory tests, radiographic patterns, diagnosis, and therapeutic management of amiodarone pneumonitis with Hypermastigote lung infection were described.


RESULTS
A 58 year old male patient presented dyspnea after exertion. Pulmonary function showed decrease of the diffusing capacity, and CT showed interstitial changes and alveolar exudation. Foamy cells and Hypermastigotes were found in the bronchoalveolar lavage fluid. After cessation of amiodarone and the start of anti-parasite therapy, the symptoms relieved.


CONCLUSIONS
Amiodarone pneumonitis with Hypermastigote lung infection is very rare. The infection may be due to decrease of local immunity caused by amiodarone pneumonitis.
Nie
Xiao-meng
XM
Department of Respiratory Medicine, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
Yao
Xiao-peng
XP
Huang
Yi
Y
Zhou
Dao-yin
DY
Chang
Zheng-shan
ZS
Li
Qiang
Q
D000638:Amiodarone / Q000009:adverse effects*; D006801:Humans; D056952:Hypermastigia / Q000302:isolation & purification; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000139:chemically induced* / Q000469:parasitology*; D011528:Protozoan Infections
D000638:Amiodarone