1887
Volume 2006, Issue 1
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

A young male was treated for right-sided pneumonia with cloxacillin and piperacillin/tazobactam. As he was recovering from the pneumonia he developed left-sided pleuritic pain and pleural effusion. At thoracocentesis an exudative pleural effusion contained 16% eosinophils with a simultaneous 28% peripheral eosinophilia. An allergic reaction to penicllins was thought to be the cause. After withdrawal of those medications and institution of pred-nisolone a rapid resolution was seen of symptoms, signs, peripheral eosinophilia and radiological abnormalities.

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2006-06-01
2019-08-17
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References

  1. 1. Cooper   JA., , White   DA., , Matthay   RA. . Drug- induced pulmonary disease (part I & II). . Am Rev Respir Dis . 1986; ;133: : 488– 505 .
    [Google Scholar]
  2. 2. Huggins   JT., , Sahn   SA. . Drug induced pleural disease. . Clin Chest Medicine . 2004; ;25: : 141– 149 .
    [Google Scholar]
  3. 3. Antony   VB. . Drug-induced pleural disease. . Clin Chest Med . 1998; ;19: : 331– 340 .
    [Google Scholar]
  4. 4. Steven   A., , Sahn. . Pleural fluid eosinophilia. . Uptodate online . 2005; ; : 132 .
    [Google Scholar]
  5. 5. Moufarrege   G., , Frank   E., , Carstens   DD. . Eosinophilic exudative pleural effusion after initiation of tizanidine treatment: A case report. . Pain Med . 2003; ;4: : 85– 90 .
    [Google Scholar]
  6. 6. Anshelevich   IV., , Svistunov   AA. . Eosinophilic exudative pleurisy as a manifestation of drug allergy. . TerArkh.   1986; ;58: : 142– 143 .
    [Google Scholar]
  7. 7. Rubins   JB., , Bloomfield   H. . Etiology and prognostic significance of eosinophilic pleural effusion. . Chest . 1996; ;110: : 1271– 1274 .
    [Google Scholar]
  8. 8. Wysenbeek   AJ., , Lahav   M., , Aelion   JA., , Kaufmann   L. . Eosinophilic pleural effusion: a review of 36 cases. . Respiration . 1985; ;48: : 73– 76 .
    [Google Scholar]
  9. 9. Martinez-Garcia   MA., , Cases-Viedma   E., , Cordero-Rodriguez   PJ., , Hidalgo-Ramirez   M., , Perpina-Tordera   M., , Sanchis-Moret   F., , Sanchis-Aldas   JL. . Diagnostic utility of eosinophils in the pleural fluid. . Eur Respir J . 2000; ;15: : 166– 169 .
    [Google Scholar]
  10. 10. Kalomenidis   I., , Light   RW. . Eosinophilic pleural effusions. . Curr Opin Pulm Med . 2003; ;9: : 254– 260 .
    [Google Scholar]
  11. 11. Lau   MS., , Pien   FD. . Eosinophilic pleural effusions. . Hawaii Med J.   1990; ;49: : 206– 207 .
    [Google Scholar]
  12. 12. Behnia   M., , Dowdeswell   I., , Vakili   S. . Pleural fluid and serum eosinophilia: association with fluoxetine hydrochloride. . South Med J . 2000; ;93: : 611– 613 .
    [Google Scholar]
  13. 13. FELZ   MW., , Haviland-Foley   DJ. . Eosinophilic Pleural effusion due to dantrolene: Resolution with steroid therapy. . Southern Medial journal . 2001; ;94: : 502– 504 .
    [Google Scholar]
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