Chronic eosinophilic pneumonia secondary to long-term use of nitrofurantoin: high-resolution computed tomography findings.
The authors report the case of a female patient who developed chronic eosinophilic pneumonia secondary to long-term use of nitrofurantoin for prophylaxis of recurrent urinary tract infections due to urethral stenosis. On high-resolution computed tomography scans, the pulmonary reaction to nitrofurantoin most commonly manifests as an interstitial-alveolar pattern in both lung bases. However, in this case, the alterations were most pronounced in the periphery of the upper lobes. In itself, this tomographic profile is strongly indicative of chronic eosinophilic pneumonia. The patient had previously been submitted to an open lung biopsy. The diagnosis of chronic eosinophilic pneumonia was confirmed through a review of the biopsy.
Martins
Rosane Rodrigues
RR
Armed Forces Hospital - Brasília, Brazil. sanemar@correioweb.com.br
Marchiori
Edson
E
Viana
Sérgio Lopes
SL
Grillo Júnior
Luiz Sérgio Pereira
LS
Capelozzi
Vera Luiza
VL
Valença
Laércio Moreira
LM
D000368:Aged; D000892:Anti-Infective Agents, Urinary / Q000009:adverse effects*; D001706:Biopsy; D002908:Chronic Disease; D005260:Female; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000473:pathology; D009582:Nitrofurantoin / Q000009:adverse effects*; D011657:Pulmonary Eosinophilia / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods; D014552:Urinary Tract Infections / Q000517:prevention & control
D000892:Anti-Infective Agents, Urinary; D009582:Nitrofurantoin