title: Acute eosinophilic pneumonia with intramuscular progesterone after in vitro fertilization.
abstract: OBJECTIVE
  To report an unusual case of acute eosinophilic pneumonia that was associated with IM P in oil after IVF.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Academic teaching hospital.
  
  
  METHODS
  A 35-year-old primigravid female who developed acute eosinophilic pneumonia after administration of IM P in oil as luteal-phase support after IVF.
  
  
  METHODS
  Corticosteroid therapy; replacement of IM P with intravaginal preparation.
  
  
  METHODS
  Evaluation of blood eosinophil counts along with clinical symptoms and chest radiograph findings at initial presentation and throughout the hospital course.
  
  
  RESULTS
  After the noted interventions, there was a marked improvement of clinical symptoms, chest radiograph findings, and eosinophilia.
  
  
  CONCLUSIONS
  Although allergic reactions to IM P-in-oil administration are exceedingly rare, clinicians caring for patients using these products should be aware of potential adverse reactions and subsequent management.
authors.affiliation: Department of Pulmonary Medicine, Pulmonary and Critical Care Center, Bronx, New York 10463, USA. dramirkhan@hotmail.com
authors.forename: Amir M
authors.initials: AM
authors.lastname: Khan
authors.forename: Sunit
authors.initials: S
authors.lastname: Jariwala
authors.forename: Harry Jay
authors.initials: HJ
authors.lastname: Lieman
authors.forename: Philip
authors.initials: P
authors.lastname: Klapper
mesh_terms: D000208:Acute Disease; D000328:Adult; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects*; D006801:Humans; D007273:Injections, Intramuscular; D011374:Progesterone / Q000009:adverse effects*; D011657:Pulmonary Eosinophilia / Q000139:chemically induced* / Q000175:diagnosis*
chemical_list: D011374:Progesterone