A Case Report of Chronic Eosinophilic Pneumonia in a Child with Manifestations Similar to Miliary TB

Eosinophilic pneumonia is a rare disease in children and should be considered in differential diagnosis of bilateral pulmonary infiltration associated with peripheral blood eosiniphilia.In this report, a 13- year-old boy is presented with pulmonary involvement. He had an 8- year history of dry cough with fever and had received anti tuberculosis treatment for four times with diagnosis of smear negative pulmonary tuberculosis, but showed no evidence of clinical and radiological improvement. Bacteriologic evaluation for tuberculosis, tuberculin test, and PCR for M. tuberculosis were all negative. Pulmonary function tests of the patients revealed a restrictive pattern. Complete blood count demonstrated eosinophilia several times. The patient underwent bronchoscopy, which showed eosinophilia in bronchial secretions and open lung biopsy was performed, which confirmed the diagnosis of chronic eosinophilic pneumonia. Oral prednisolone was administered for the patient for 4 weeks. His clinical condition improved, and control radiography was indicative of improvement in pulmonary lesions. (Tanaffos 2003; 2(6): 75-79)