PMC7251375_01
CT showed marked patchy infiltrate in the left upper lobes with small amount of pleural effusions.
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Computed tomography (CT) showed marked patchy infiltrate in the left upper lobes with small amount of pleural effusions. (Fig. 1).
CT done after antibiotics treatment showed no improvement in left lung.
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CT (Fig. 2) indicated no improvement of infiltrate in the lungs.
Pathological biopsy of percutaneous lung biopsy showed eosinophilic pneumonia( x 100).
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The potent broad-spectrum antibiotics therapy was ineffective and leukocytes and eosinophils abnormally increased, but neutrophils didn't, we had his percutaneous lung puncture biopsy performed for diagnosis, which showed obvious eosinophilic infiltration without loose connective tissue, necrotizing or granulomatous vasculitis. (Fig. 3).
CT done before discharged from hospital showed resolution of pulmonary infiltrate.
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Before discharged from hospital, blood examination including peripheral blood cells counts, arterial blood gas test and liver function returned to normal and CT (Fig. 4) demonstrated improvement of the pulmonary infiltrate.Enlarged lymphnode shrank.
CR showed no obvious abnormality.
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On follow-up in clinic 1 month later, the patient was noted to have significant improvement in blood test (white blood cells 16.01 x 109/L, neutrophils 11.09 x 109/L(69.3%), and eosinophils 1.71 x 109/L(10.7%)) and chest radiography (CR) (Fig. 5).