• V L Buddharaju, J L Saraceno, J M Rosen, S D Spivack, T C Smith, R Ilves, D A Killam, and B J McKenna.
• Division of Pulmonary and Critical Care, Albany Medical College, NY, USA.
• Crit. Care Med. 1999 Sep 1; 27 (9): 2014-6.

ObjectiveTo describe an unusual case of acute eosinophilic pneumonia (AEP) associated with hemodynamic instability.DesignCase report, clinical.SettingsTertiary care intensive care unit (ICU).PatientA single patient admitted to the ICU.InterventionsIntravenous corticosteroids.Measurements And Main ResultsResolution of distributive shock and respiratory failure.ConclusionsAEP with respiratory failure was first reported in 1989 as a distinct clinical entity. Patients with this variant of eosinophilic lung disease develop acute hypoxemic respiratory failure with a rapid response to treatment with corticosteroids, The characteristic feature of this syndrome is a predominance of eosinophils found in bronchoalveolar lavage fluid and lung biopsy. Despite the increasing number of reported cases, to our knowledge, distributive shock has not been reported as a feature of AEP. We report a unique case of AEP associated with shock and review the pertinent literature.

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