7 results
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
psittaci/avian, leptospirosis ... yersinia/rats, Q fever ... ) - Returning travelers ... Eosinophilic PNA (acute ... or chronic)
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Travelers from ... , acute HIV infection ... Cough, dyspnea - Pneumonia ... melioidosis, typhoid, pulmonary ... , Lassa fever, acute
Based on the images alone, it is usually not possible to determine the cause of the
considered, like acute ... or chronic illness ... Lobar pneumonia ... with cough and fever ... Pulmonary hemorrhage
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
common diagnoses Acute ... tobacco hx - Fever ... mechanical ventilation Chronic ... - Peripheral Consolidations ... AKA "inverse pulmonary
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 • (UIP) Usual Interstitial Pneumonia
Differential Diagnosis Algorithm ... leaking out of pulmonary ... Radiaition • Drugs: Amiodarone ... , Beomycin • Acute ... or Chronic Radiation
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Lung Diseases • Acute ... Eosinophilic Pneumonia ... cough, SOB • Chronic ... Fungal, parasites; Travel ... Lung #Diseases #pulmonary
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
pleural effusions • Acute ... toxicity (e.g., acute ... • Chronic toxicity ... (e.g., chronic ... Fever 4.