Neumonía eosinofílica post COVID – 19 en un adulto mayor. Reporte de caso.

Abstract

Background: Eosinophilic pneumonia is a rare disease; its prevalence has not been fully elucidated. Accurate diagnosis can be difficult if not raised as a suspicion; it is often based on a combination of a complete history and a comprehensive physical examination. There are no case reports on this pathology in Ecuador, so it was decided to make a report on an older adult patient. Presentation of the case: A 74-year-old male patient of mixed race presented with respiratory distress and cough at the first medical check-up after being hospitalized for 23 days for SARS-CoV-2-associated pneumonia. After a review of complementary tests, marked eosinophilia was observed, so it was decided to evaluate for probable post-COVID-19 eosinophilic pneumonia. Conclusions: The high clinical suspicion corroborated with an excellent clinical history, physical examination, and complementary tests allow the diagnosis of this pathology. The relevant findings of this case were radiological alterations suggestive of eosinophilic pneumonia, the presence of eosinophils in the sample, and the treatment provided with corticosteroids and immunosuppressant, allowing the clinical recovery of this patient.