A rare cause of pulmonary infiltrates one should be aware of: a case of daptomycin-induced acute eosinophilic pneumonia

Infection. 2011 Dec;39(6):583-5. doi: 10.1007/s15010-011-0148-y. Epub 2011 Jun 30.

Abstract

We report a 69-year-old patient who developed fever and dyspnea 3 weeks after the initiation of daptomycin therapy for spondylodiscitis with lumbar epidural and bilateral psoas abscesses due to ampicillin- and high-level-gentamicin-resistant Enterococcus faecium. There was profound hypoxia and the chest X-ray showed extensive patchy infiltrates bilaterally. A bronchoalveolar lavage revealed 30% eosinophils and results of microbiological studies were normal. Daptomycin-induced eosinophilic pneumonia was diagnosed and the patient rapidly improved after the discontinuation of daptomycin and a brief course of prednisone. Increased attention must be paid to this rare but serious side effect of daptomycin.

Publication types

  • Case Reports

MeSH terms

  • Abscess / drug therapy
  • Aged
  • Anti-Bacterial Agents / administration & dosage*
  • Anti-Bacterial Agents / adverse effects*
  • Bronchoalveolar Lavage Fluid / cytology
  • Daptomycin / administration & dosage*
  • Daptomycin / adverse effects*
  • Discitis / complications
  • Discitis / drug therapy
  • Enterococcus faecium
  • Gram-Positive Bacterial Infections / drug therapy
  • Gram-Positive Bacterial Infections / microbiology
  • Humans
  • Lung / pathology
  • Male
  • Pulmonary Eosinophilia / chemically induced*
  • Pulmonary Eosinophilia / diagnosis*
  • Pulmonary Eosinophilia / pathology
  • Radiography, Thoracic

Substances

  • Anti-Bacterial Agents
  • Daptomycin