A Case of Chronic Eosinophilic Pneumonia

Abstract

22 year old female ,a college student   referred  from nearby government medical College hospital as a case of ? H1N1 viral pneumonia. Patient presented with H/O non productive cough for 3 months and progressive dyspnea for   2 weeks, fever with night sweats for 2 weeks and with loss of appetite and loss of weight. She was treated at nearby     hospital as a case of H1N1 pneumonia because of the clinical picture at the time of admission and due to the epidemic of H1N1 influenza during that period.  Since She was still    symptomatic despite antibiotics and antivirals, she was     referred here for further management.  At the time of        admission, Patient was febrile, dyspneic and tachypneic,  bilateral crepitations and wheeze present. Investigations   revealed peripheral blood eosinophilia and x ray chest shows bilateral middle lobe and lower lobe infiltrates. CT chest  showing the features of  ‘Reverse Bat wing’s sign’  raised the suspicion and the dramatic clinical, radiological and          serological improvement with oral corticosteroids clinched the diagnosis of Chronic Eosinophilic Pneumonia i.e., Pulmonary infiltrates with eosinophilia.