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Obstructive Pneumonia due to Unknown Eosinophilic Mucoid Impaction of Bronchi: a Case Report

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We report an unusual case of obstructive pneumonia due to an unknown eosinophilic mucoid impaction of the bronchi (MIB). A 54-year-old woman visited our hospital for investigation of abnormal shadows visible on a chest radiograph. Chest computed tomography and bronchoscopic examination revealed pneumonia due to MIB. Histopathological examination of biopsied mucosal tissue revealed extensive eosinophilic infiltration. With the exclusion of medical diseases that can cause eosinophilia, pneumonia due to eosinophilic mucoid impaction of the bronchi was diagnosed. The cause of the eosinophilia remained unknown. The pneumonia and mucoid impaction resolved after oral steroid therapy.

Abstract

We report an unusual case of obstructive pneumonia due to an unknown eosinophilic mucoid impaction of the bronchi (MIB). A 54-year-old woman visited our hospital for investigation of abnormal shadows visible on a chest radiograph. Chest computed tomography and bronchoscopic examination revealed pneumonia due to MIB. Histopathological examination of biopsied mucosal tissue revealed extensive eosinophilic infiltration. With the exclusion of medical diseases that can cause eosinophilia, pneumonia due to eosinophilic mucoid impaction of the bronchi was diagnosed. The cause of the eosinophilia remained unknown. The pneumonia and mucoid impaction resolved after oral steroid therapy.

참고문헌 (10)

  1. Hutcheson JB, "Mucoid impaction of the bronchi", Am J Clin Pathol, 33, pp.427~432 (1960)
  2. Felson B, "Mucoid impaction (inspissated secretions) in segmental bronchial obstruction", Radiology, 133, pp.9~16 (1979)
  3. SHaw RR, "Mucoid impaction of the bronchi", J Thorac Surg, 22, pp.149~163 (1951)
  4. Greer AE, "Mucoid impaction of the bronchi", Ann Intern Med, 46, pp.506~522 (1957)
  5. Gibson PG, "Allergic bronchopulmonary aspergillosis", Semin Respir Crit Care Med, 27, pp.185~191 (2006)
  6. Agarwal R, "Clinical significance of hyperattenuating mucoid impaction in allergic bronchopulmonary aspergillosis:an analysis of 155 patients", Chest, 132, pp.1183~1190 (2007)
  7. Martinez S, "Mucoid impactions: finger-in-glove sign and other CT and radiographic features", Radiographics, 28, pp.1369~1382 (2008)
  8. Ishiguro T, "Pulmonary Schizophyllum commune infection developing mucoid impaction of the bronchi", Yale J Biol Med, 80, pp.105~111 (2007)
  9. Kobashi Y, "Mucoid impaction of the bronchi caused by Mycobacterium avium", Intern Med, 52, pp.1537~1540 (2013)
  10. Nguyen ET, "The gloved finger sign", Radiology, 227, pp.453~454 (2003)

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