A Severe Case of Isotretinoin Induced Eosinophilic Pneumonia and Pericardial Effusion, a Case Report

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BACKGROUND: We report a case of a 25-year-old female who presented with fever, rash and general malaise.

CASE PRESENTATION: She was initially diagnosed and treated for peri-/myocarditis, but she deteriorated quickly with the development of extensive bilateral consolidations for which she was mechanically ventilated. Two weeks before admission, she took isotretinoin for less than a week for disfiguring acne. Diagnosis of drug-induced acute eosinophilic pneumoniae (EP) was made after excluding other causes of AEP. Even before starting steroid treatment, the patient improved significantly, which was in alignment with the elimination of the active metabolite of isotretinoin.

CONCLUSION: The presented case underlines the importance of performing a thorough history and consider recently started drugs as the cause of eosinophilic pneumoniae, even if they have not yet been described as a known trigger of drug-induced EP.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Current drug safety - (2024) vom: 24. Jan.

Sprache:

Englisch

Beteiligte Personen:

Kampman, Anne [VerfasserIn]
Keulers, Laurien [VerfasserIn]
der Maten, Jan van [VerfasserIn]
der Meij, Jacqueline van [VerfasserIn]
Bethlehem, Carina [VerfasserIn]

Links:

Volltext

Themen:

Care report
Case Reports
Drug induced eosinophilic pneumonia
Eosinophilic pneumonia
Hypersensitivity reaction
Isotretinoin
Pericardial effusion

Anmerkungen:

Date Revised 26.01.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.2174/0115748863274642231121072432

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367654660