Covid-19 Pnömonisi Ayırıcı Tanısında Eozinofilik Pnömoni: Olgu Sunumu

Year 2025, Volume: 4 Issue: 1, 28 - 31, 15.03.2025

Bahar Busra Sivrikaya , Özgür Günal , Bengi Şermut Süleyman Sırrı Kilic

https://doi.org/10.57221/izmirtip.1535374

Abstract

Akut solunum yetmezliğine neden olan coronavirus hastalığı 2019 (COVID-19), asemptomatik olabileceği gibi öksürük, nefes darlığı gibi spesifik olmayan semptomlarla da ortaya çıkabilmektedir. Dispne, öksürük, balgam gibi solunum şikayetleri bulunan ve ön tanıda COVID-19 pnömonisi düşünülen hastalarda; viral pnömoni, eozinofilik pnömoni, diffüz alveolar ödem, akut interstisyel pnömoni ve bronşiolitis obliterans organize pnömoni ayırıcı tanıda akla gelmelidir. Bu yazıda ön tanıda COVID-19 pnömonisi düşünülerek yatış verilen ve takibinde akut eozinofilik pnömoni tanısı koyulan bir olgu sunulmuştur.

Keywords

COVID-19, dispne, eozinofilik pnömoni

Ethical Statement

Olgu sunumu olduğu için etik kurul onayı alınmamıştır.

Acute Eosinophilic Pneumonia in the Differential Diagnosis of Covid-19 Pneumonia: A Case Report

Abstract

Coronavirus 2019 (COVID-19), which causes acute respiratory failure, may be asymptomatic or present with non-specific respiratory symptoms such as cough, fatigue, and shortness of breath. Viral pneumonia, eosinophilic pneumonia, diffuse alveolar edema, acute interstitial pneumonia, diffuse alveolar edema, and bronchiolitis obliterans organizing pneumonia are considered in the differential diagnosis of COVID-19 pneumonia. In this article, we present a case who was hospitalized with a preliminary diagnosis of COVID-19 pneumonia and diagnosed as acute eosinophilic pneumonia in the follow-up.

Keywords

COVID-19, dyspnea, eosinophilic pneumonia

References

• 1. Pan Y, Guan H, Zhou S, Wang Y, Li Q, Zhu T, et al. Initial CT findings and temporal changes in patients with the novel coronavirus pneumonia (2019-nCoV): a study of 63 patients in Wuhan, China. Eur Radiol. 2020;30:3306-9.
• 2. Philit F, Etienne-Mastroïanni B, Parrot A, Guérin C, Robert D, Cordier JF. Idiopathic acute eosinophilic pneumonia: a study of 22 patients. Am J Respir Crit Care Med. 2002;166:1235-9.
• 3. Serin I, Ulusoy A, Onar MI, Dogu MH. COVID-19 pneumonia or hypereosinophilic syndrome? J MedCases. 2020;11:400-2.
• 4. Bonnier A, Nida A, Chong WH, Saha S, Saha BK. Vaping associated acute eosinophilic pneumonia: a clinical and radiologic mimicker of COVID-19. Prague Med Rep. 2023;124:283-92.
• 5. Kadyrova A, Antipina I, Kyrbasheva I, Baudinov I, Kulbaeva B, Aitieva U, et al. CT patterns and differential criteria for acute eosinophilic pneumonia and COVID‐19 pneumonia. Clin Case Rep. 2021;9:e04890.
• 6. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global healthconcern. Lancet. 2020;395:470-3.
• 7. Tan W, Zhao X, Ma X, Wang W, Niu P, Xu W, et al. A novel coronavirus genome identified in a cluster of pneumonia cases in Wuhan, China 2019−2020. China CDC Wkly. 2020;2:61-2.
• 8. Gulpınar B, Peker E. Computed tomography findings of viral pneumonia: is it possible to predict the virüs type depending on chest CT findings. Ank Med J. 2019;19:529-38.
• 9. Bilgiç I, Cinel G. Akut ve kronik eozinofilik pnömoni. Çocukluk çağında nadir görülen akciğer hastalıkları. 1. Baskı. Ankara: Türkiye Klinikleri 2022: p.44-8.
• 10. Ajani S, Kennedy CC. Idiopathic acute eosinophilic pneumonia: a retrospective case series and review of the literature. Respir Med Case Rep. 2013;10:43-7.
• 11. De Giacomi F, Vassallo R, Yi ES, Ryu JH. Acute eosinophilic pneumonia. causes, diagnosis, and management. Am J Respir Crit Care Med. 2018;197:728-36.