Acute eosinophilic pneumonia associated with shock.

Abstract

To describe an unusual case of acute eosinophilic pneumonia (AEP) associated with hemodynamic instability. Case report, clinical. Tertiary care intensive care unit (ICU). A single patient admitted to the ICU. Intravenous corticosteroids. Resolution of distributive shock and respiratory failure. AEP with respiratory failure was first reported in 1989 as a distinct clinical entity. Patients with this variant of eosinophilic lung disease develop acute hypoxemic respiratory failure with a rapid response to treatment with corticosteroids, The characteristic feature of this syndrome is a predominance of eosinophils found in bronchoalveolar lavage fluid and lung biopsy. Despite the increasing number of reported cases, to our knowledge, distributive shock has not been reported as a feature of AEP. We report a unique case of AEP associated with shock and review the pertinent literature.