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Acute eosinophilic pneumonia

Imaging findings

Chest CT in a pregnant woman who underwent IVF shows peripheral septal lines, dependent ground-glass opacities, and consolidations. Bronchoalveolar lavage confirmed acute eosinophilic pneumonia, which was triggered by intramuscular progesterone injections in a sesame oil base.

Key takeaways

Acute eosinophilic pneumonia can be triggered by medical drug administrations, including intramuscular progesterone injections formulated in sesame oil. Differentiating this drug-induced iatrogenic complication from other infectious or cardiorespiratory processes is vital, as it is highly responsive to steroids.

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