Eosinophilic pneumonia (EP) is a rare disease of the lung. We aimed to present atypical course of two EP cases. They were admitted to our hospital because of acute respiratory distress syndrome (ARDS) in postpartum period. Eosinophilia was detected in bronchoscopic bronchoalveolar lavage and laboratory examination. In these cases, no spesific cause for eosinophilic pneumonia was determined and steroid treatment was started. After the treatment, the patients were in full recovery which were confirmed by clinical and radiological investigations, readmitted to our clinic with relapses of ARDS. The patients have received regular treatment for 1 year. Our cases were neither fitting the classic definitions of acute eosinophilic pneumonia nor chronic eosinophilic pneumonia. Therefore, we wanted to contribute additional data in the literature by sharing these interesting cases.
Eozinofilik pnömoniler akciğerin nadir hastalıklarıdır. Biz, atipik seyir gösteren iki eozinofilik pnömoni vakasını sunmayı amaçladık. Vakalar, hastanemize postpartum periodda akut solunum yetmezliği (ASY) nedeniyle kabul edildiler. Laboratuar muayenesinde ve bronkoskopik bronkoalveolar lavajda eozinofili tespit edildi. Eozinofili nedeni belirlenemeyen hastalara steroid tedavisi başlandı. Tedavi sonrası tam klinik ve radyolojik yanıt alınan hastalar, kliniğimize ASY nüksleriyle tekrar kabul edildiler. Hastalar, 1 yıl düzenli tedavi aldılar. Vakalarımızın, klinik tanımlamaları ne akut eozinofilik pnömoni ne de kronik eozinofilik pnömoniye uymaktadır. Bu nedenle, bu iki ilginç olguyu literatürle paylaşmak istedik.
Keywords: Eosinophilia; Postpartum period; Respiratory distress syndrome.