Acute eosinophilic pneumonia associated with smoke from fireworks

Intern Med. 2000 May;39(5):401-3. doi: 10.2169/internalmedicine.39.401.

Abstract

We report a case of acute eosinophilic pneumonia (AEP). Although the patient had been a habitual cigarette smoker for over 4 months, he had had not any respiratory distress. After he inhaled smoke from fireworks for 3 consecutive nights, the patient began to complain of cough, fever and dyspnea. He showed leukocytosis of 16,200/microl and hypoxemia of 58.1 torr. Chest radiograph showed bilateral infiltrates with Kerley A and B lines. The bronchoalveolar lavage fluid revealed 38.5% eosinophils. He was diagnosed as AEP. In this patient, inhaling of smoke from fireworks was clinically suspected to be associated with the induction of AEP.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adolescent
  • Fires
  • Granulocyte Colony-Stimulating Factor / blood
  • Granulocyte-Macrophage Colony-Stimulating Factor / blood
  • Humans
  • Interleukin-8 / blood
  • Leukocytosis / blood
  • Leukocytosis / etiology
  • Male
  • Neutrophils
  • Pulmonary Eosinophilia / blood
  • Pulmonary Eosinophilia / diagnosis
  • Pulmonary Eosinophilia / etiology*
  • Smoke / adverse effects*

Substances

  • Interleukin-8
  • Smoke
  • Granulocyte Colony-Stimulating Factor
  • Granulocyte-Macrophage Colony-Stimulating Factor