Correct!
2. The high percentage of eosinophils is consistent with acute eosinophilic pneumonia

The percentage of BAL eosinophils is quite high. Although this varies from laboratory to laboratory it is generally less than 5%. Eosinophilia can be seen in both the BAL and serum in coccidioidomycosis although the percentage in our patient is higher than usually seen in coccidioidomycosis which averages about 8% (4). BAL eosinophilia is seen, often over 50%, in acute eosinophilic pneumonia (5). In contrast to chronic eosinophilic pneumonia, the peripheral eosinophil count is usually no elevated in acute eosinophilic pneumonia.

Which of the following are indicated next? (Click on the correct answer to proceed to the fifth and final page)

  1. Begin treatment with high dose corticosteroids
  2. Carefully inspect the BAL fluid for Strongyloides
  3. Obtain serum IgE
  4. 1 and 3
  5. All of the above

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