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Venlafaxine-induced acute eosinophilic pneumonia.
MedLine Citation:
PMID:  21762842     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: Acute Eosinophilic Pneumonia (AEP) is a severe syndrome which can be potentially induced by many reasons, including drugs. It is characterized by pulmonary infiltrates, peripheral blood eosinophilia and respiratory failure. AEP has rarely been associated with antidepressant treatment.
CASE REPORT: We report a case of an 80-year-old woman who presented with fever, lung infiltrates, peripheral blood eosinophilia and acute respiratory failure. All evidence charge venlafaxine as the only possible causal factor. The syndrome rapidly resolved after discontinuation of the drug and upon reception of corticosteroids in low doses. The patient had a past medical history of AEP induced by sertraline and a recent medical history of Acute Lung Injury on the context of acute pancreatitis during treatment with venlafaxine.
DISCUSSION: Pathophysiological mechanisms implicated in the development of AEP in our patient seems to be associated with eotaxin and serotonin eosinophilic-specific chemoattracting action.
CONCLUSION: This is a case report with clinical adverse reaction of AEP in two antidepressant agents (venlafaxine and sertraline) with a similar neurochemical mechanism of action via the serotoninergic system.
Authors:
Evi Tsigkaropoulou; Despina Hatzilia; Emmanouil Rizos; Christos Christodoulou; Stylianos Loukides; Spyridon Papiris; Lefteris Lykouras
Publication Detail:
Type:  Journal Article     Date:  2011-05-05
Journal Detail:
Title:  General hospital psychiatry     Volume:  33     ISSN:  1873-7714     ISO Abbreviation:  Gen Hosp Psychiatry     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7905527     Medline TA:  Gen Hosp Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  411.e7-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
National and Kapodistrian University of Athens, Medical School, 2nd Department of Psychiatry, University "ATTIKON" General Hospital, 12462 Athens, Greece.
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