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diagnosis differential causes eosinophilic lung amiodarone clinical comparison consolidation cxr diseases dyspnea eosinophilia fungal induced infections infectiousdiseases lobar mycoses nonresolving
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
Approach to Eosinophilic Lung Diseases • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Lung Diseases • Acute ... Eosinophilic Pneumonia ... Pneumonia (> 1 ... Fungal, parasites; Travel ... Lung #Diseases #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Differential Diagnosis Algorithm ... Stable Angina • Acute ... Alveoli • Pneumonia ... #Dyspnea #SOB #
Eosinophilic Pneumonia When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
common diagnoses Acute ... tobacco hx - Fever ... mechanical ventilation Chronic ... - Progressive SOB ... #diagnosis #pulmonary
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 ... disease, that is so
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
toxicity (e.g., acute ... • Chronic toxicity ... (e.g., chronic ... Fever 4. ... #diagnosis #management
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
conidia → Yeast → travel ... respiratory symptoms • Fever ... or chronic pulmonary ... • Isolated fever ... Fungal #Diagnosis #Management
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