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Abstract

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Article in Japanese

Case Report

A case of acetaminophen-induced eosinophilic pneumonia

Tsukasa Uedaa  Tomoyuki Arayaa  Yuka Uchidaa  Hideharu Kimurab  Kazuo Kasaharab  Toshiyuki Kitaa 

aDepartment of Respiratory Medicine, National Hospital Organization Kanazawa Medical Center
bDepartment of Respiratory Medicine, Kanazawa University Hospital

ABSTRACT

Acetaminophen can cause eosinophilic pneumonia. A 79-year-old woman was admitted to our hospital complaining of dyspnea after taking a cold remedy that contained an acetaminophen combination. Computed tomography of the chest revealed bilateral patchy ground-glass opacification. The eosinophil count was found to be elevated in the peripheral blood and bronchoalveolar lavage fluid. Based on these clinical findings and the drug history, the patient was diagnosed as having acetaminophen-induced eosinophilic pneumonia. She was successfully treated with the cessation of acetaminophen and administration of corticosteroids. Acetaminophen is one of the most frequently used drugs; it is therefore important to accumulate and share information regarding interstitial lung disease induced by acetaminophen.

KEYWORDS

Drug-induced eosinophilic pneumonia  Acetaminophen  Bronchoalveolar lavage fluid (BALF) 

Received 16 Jul 2018 / Accepted 5 Oct 2018

AJRS, 8(1): 42-46, 2019

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