To the Editor: Allen et al. (Aug. 31 issue)* have characterized four patients with acute eosinophilic pneumonia, a syndrome that appears to be distinct from other types of idiopathic eosinophilic lung disease. We describe an HIV-infected patient who presented with acute respiratory failure and eosinophilia as shown in bronchoalveolar-lavage fluid. The acute eosinophilic pneumonia resolved rapidly after treatment with corticosteroids. Acute eosinophilic pneumonia is distinctly uncommon in HIV-infected patients. A 20-year-old man presented with a three-day history of fever, cough, and dyspnea. He was an active intravenous heroin user, and anti-HIV antibodies were detected (Immunoblot, Dupont). A more detailed history.
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