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A Case of the Week

Case 68

 An eighty nine-year-old female came to our hospital due to suspicious pneumonia diagnosed from a local clinic. She originally suffered from athma, hypertension and scapular joint arthritis so that several medicines were prescribed. Further, she got gastric endoscopy this month, indicating Helicobacter Pylori (HP) infection. She was given additional medicines to exclude HP. The following day after cessation of these medicines, she found edematous eyelids and bilateral swollen foots. She also suffered from fever, cough, dyspnea and thoracic pain.

 Oxygen saturation rate was 90 – 91% and moisture rales were auscultated in the whole lung. Laboratory tests at admission revealed CRP 10.57 mg/dL, white blood cells 7520 / mm3 , neutrophils 68.4% (40 – 71) and eosinophils 12. 9 % (0 – 7).

 Chest radiograph (Fig. 1) and chest CT (Figs. 2-4) were taken for further investigation.

What is the diagnosis ?

1. Cardiac failure

2. Pneumonia

3. Cryptogenic organizing pneumonia

4. Chronic eosinophilic pneumonia

5. Acute eosinophilic pneumonia


2017.8.23



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