ABSTRACT
We report a case of acute respiratory distress syndrome (RDS) in a patient treated with Atenolol (Tenormin) for two months. According to the different criteria which are generally used, the diagnosis of pulmonary oedema induced by Atenolol was made. There were extra pulmonary clinical signs (cutaneous and articular) which were associated with blood hypereosinophilia and were suggesting the mechanism of RDS was hypersensitivity.
Subject(s)
Antihypertensive Agents/adverse effects , Atenolol/adverse effects , Respiratory Distress Syndrome/chemically induced , Aged , Drug Hypersensitivity , Humans , Male , Pulmonary Edema/chemically induced , Respiratory Distress Syndrome/pathologyABSTRACT
We report a case of atelectasis of the upper right lobe which did not respond to antibiotics. A third bronchial endoscopy with bronchoalveolar lavage was required to make the diagnosis of endobronchial nocardiasis. Search for extension revealed a brain localization. Search for immune deficiency only revealed calcification of the bronchial mucosa in the area of the nocardiasis.