A Case of Acute Eosinophilic Pneumonia after Tooth Extration

DOI 1 Citations 13 References
  • Arikawa Keisuke
    Department of Respiratory Medicine, National Kyushu Medical Center
  • Yano Takafumi
    Department of Respiratory Medicine, National Kyushu Medical Center
  • Ohsita Yuichi
    Department of Respiratory Medicine, National Kyushu Medical Center
  • Shiga Yumiko
    Department of Respiratory Medicine, National Kyushu Medical Center
  • Nakahara Shin
    Department of Respiratory Medicine, National Kyushu Medical Center
  • Saito Seiko
    Department of Respiratory Medicine, National Kyushu Medical Center
  • Koga Hideyuki
    Department of Respiratory Medicine, National Kyushu Medical Center
  • Oizumi Kotaro
    久留米大学医学部第1内科

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Other Title
  • 抜歯を契機として発症した急性好酸球性肺炎の 1 例

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A 23-year-old man was admitted with severe hypoxia and diffuse pulmonary infiltrates on chest X-ray film. One month prior to admission, he had had slight fever after a tooth extraction for caries. Three weeks later, he visited another doctor's office because of high fever and dyspnea. Laboratory findings showed leukocytosis in peripheral blood and CRP elevation in serum. Chest X-ray film showed diffuse bilateral infiltration shadows. He was given antibiotics for acute bacterial pneumonia. However, his condition became exacerbated, and dyspnea developed. He was admitted to the intensive care unit in our hospital. Bronchoalveolar lavage (BAL) and transbronchial lung biopsy (TBLB) were performed. The BAL fluid contained 39% eosinophils, 17% lymphocytes, and 44% macrophages. BALF and pathological findings of the lung were compatible with the findings of acute eosinophilic pneumonia. It was suggested that the tooth extraction was related with the pathogenesis of acute eosinophilic pneumonia.

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