Citation

Rutigliano I, Gorgoglione S, Pacilio A, Meco CD, Sacco MC (2019) Chronic Eosinophilic Pneumonia: A Pediatric Case. Clin Med Rev Case Rep 6:264. doi.org/10.23937/2378-3656/1410264

Copyright

© 2019 Rutigliano I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2378-3656/1410264

Chronic Eosinophilic Pneumonia: A Pediatric Case

Irene Rutigliano, MD1*, Sara Gorgoglione, MD2, Anna Pacilio, MD2, Carmela De Meco, MD1 and Michele Carmine Sacco, MD1

1Pediatrics, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy

2Pediatrics, University of Foggia, Foggia, Italy

Abstract

Background

Eosinophilic lung diseases are a group of heterogeneous disorders characterized by blood eosinophilia and pulmonary infiltrates. These conditions are very rare in Pediatric sunset.

Case report

A 12-year-old nonsmoking asthmatic girl was admitted for general malaise and dry fatiguing cough. Diagnostic course reveled marked hypereosinophilia and chest radiography indicated multifocal and circumscribed bilateral pulmonary areas of consolidation. Bronchoscopy excluded the presence of neoplastic cells but marked hypereosinophilia was found in bronchoalveolar lavage. The increased number of eosinophils in blood and in bronchoalveolar lavage, the radiological findings were suggestive of Chronic idiopathic eosinophilic pneumonia.

Conclusion

Chronic idiopathic eosinophilic pneumonia is a rare disease, especially in Pediatrics. Often misdiagnosed, the treatment is based on corticosteroid administration, but there is no consensus on the right management of the disease.