Piperacillin-Associated Pulmonary Infiltrates with Eosinophilia: A Case Report

A case of pulmonary infiltrates with eosinophilia attributed to piperacillin/tazobactam therapy is described. A 54-year-old woman was treated for a suspected severe urinary tract infection with piperacillin/tazobactam. Four days later, she developed fever, chills, shortness of breath and intermitten...

Full description

Saved in:
Bibliographic Details
Main Authors: Olivia Ling-I Tseng, John Thomas Kelsall, Pearce George Wilcox
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2010/670153
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832558938197852160
author Olivia Ling-I Tseng
John Thomas Kelsall
Pearce George Wilcox
author_facet Olivia Ling-I Tseng
John Thomas Kelsall
Pearce George Wilcox
author_sort Olivia Ling-I Tseng
collection DOAJ
description A case of pulmonary infiltrates with eosinophilia attributed to piperacillin/tazobactam therapy is described. A 54-year-old woman was treated for a suspected severe urinary tract infection with piperacillin/tazobactam. Four days later, she developed fever, chills, shortness of breath and intermittent chest pains. Eosinophilia was noted in peripheral blood and, subsequently, on bronchoalveolar lavage. Transbronchial biopsy showed tissue infiltrates with eosinophilia. No evidence of bacterial, fungal and parasitic infection, or vasculitis was observed. Her symptoms and peripheral eosinophilia subsided after drug discontinuation and oral prednisone treatment. Piperacillin is an extended-spectrum penicillin antibiotic prescribed for moderate to severe infections. The common adverse reactions to piperacillin include nausea, vomiting, diarrhea and rash. Pulmonary infiltrates with eosinophilia is a rare adverse reaction, but one that may result in significant morbidity. Physicians should be aware of this rare but important adverse reaction to piperacillin.
format Article
id doaj-art-73d0d98243b646ddadd1c4a38e3bcd31
institution Kabale University
issn 1198-2241
language English
publishDate 2010-01-01
publisher Wiley
record_format Article
series Canadian Respiratory Journal
spelling doaj-art-73d0d98243b646ddadd1c4a38e3bcd312025-02-03T01:31:17ZengWileyCanadian Respiratory Journal1198-22412010-01-01172e24e2610.1155/2010/670153Piperacillin-Associated Pulmonary Infiltrates with Eosinophilia: A Case ReportOlivia Ling-I Tseng0John Thomas Kelsall1Pearce George Wilcox2Department of Internal Medicine, St Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Internal Medicine, St Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Internal Medicine, St Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, CanadaA case of pulmonary infiltrates with eosinophilia attributed to piperacillin/tazobactam therapy is described. A 54-year-old woman was treated for a suspected severe urinary tract infection with piperacillin/tazobactam. Four days later, she developed fever, chills, shortness of breath and intermittent chest pains. Eosinophilia was noted in peripheral blood and, subsequently, on bronchoalveolar lavage. Transbronchial biopsy showed tissue infiltrates with eosinophilia. No evidence of bacterial, fungal and parasitic infection, or vasculitis was observed. Her symptoms and peripheral eosinophilia subsided after drug discontinuation and oral prednisone treatment. Piperacillin is an extended-spectrum penicillin antibiotic prescribed for moderate to severe infections. The common adverse reactions to piperacillin include nausea, vomiting, diarrhea and rash. Pulmonary infiltrates with eosinophilia is a rare adverse reaction, but one that may result in significant morbidity. Physicians should be aware of this rare but important adverse reaction to piperacillin.http://dx.doi.org/10.1155/2010/670153
spellingShingle Olivia Ling-I Tseng
John Thomas Kelsall
Pearce George Wilcox
Piperacillin-Associated Pulmonary Infiltrates with Eosinophilia: A Case Report
Canadian Respiratory Journal
title Piperacillin-Associated Pulmonary Infiltrates with Eosinophilia: A Case Report
title_full Piperacillin-Associated Pulmonary Infiltrates with Eosinophilia: A Case Report
title_fullStr Piperacillin-Associated Pulmonary Infiltrates with Eosinophilia: A Case Report
title_full_unstemmed Piperacillin-Associated Pulmonary Infiltrates with Eosinophilia: A Case Report
title_short Piperacillin-Associated Pulmonary Infiltrates with Eosinophilia: A Case Report
title_sort piperacillin associated pulmonary infiltrates with eosinophilia a case report
url http://dx.doi.org/10.1155/2010/670153
work_keys_str_mv AT olivialingitseng piperacillinassociatedpulmonaryinfiltrateswitheosinophiliaacasereport
AT johnthomaskelsall piperacillinassociatedpulmonaryinfiltrateswitheosinophiliaacasereport
AT pearcegeorgewilcox piperacillinassociatedpulmonaryinfiltrateswitheosinophiliaacasereport