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Case Reports
. 2018 Jan 12:23:98-102.
doi: 10.1016/j.rmcr.2017.12.012. eCollection 2018.

A case of cocaine-induced eosinophilic pneumonia: Case report and review of the literature

Felix Reyes  1 , Vytas Vaitkus  2 , Mohammad Al-Ajam  2   3
Affiliations
Case Reports

A case of cocaine-induced eosinophilic pneumonia: Case report and review of the literature

Felix Reyes et al. Respir Med Case Rep. .

Abstract

Cocaine is a commonly abused recreational drug in the United States. An adult man developed non-specific pleuritic chest pain, pharyngitis and odynophagia after inhaling cocaine. Initial laboratory results revealed eosinophilia. Bronchoalveolar lavage also showed eosinophilia in the lavage fluid. These findings suggested the diagnosis of eosinophilic pneumonia. Chest imaging revealed scattered bilateral opacities and interstitial infiltrates. After initiation of systemic corticosteroids, the patient reported symptomatic resolution and radiographic clearance was achieved at 2 months follow up.

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Figures

Fig. 1
Fig. 1
Chest X-ray showing bilateral nodular opacities in the lungs.
Fig. 2
Fig. 2
Chest Computed Tomography (CT) imaging revealing: small mediastinal lymph nodes with innumerable nodular densities in the pulmonary parenchyma scattered throughout both lung.
Fig. 3
Fig. 3
Follow up CT imaging two months after discharge and completing oral corticosteroid treatment revealed resolution of nodular opacities.
See this image and copyright information in PMC

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