Pneumonitis and eosinophilia after in vitro fertilization treatment

Annals of Emergency Medicine
Boris VeysmanLillian Oshva

Abstract

A 33-year-old woman presented to the emergency department (ED) with tachypnea, tachycardia, and hypoxia, complaining of dyspnea and paroxysms of dry cough for 2 days. The patient had undergone an unsuccessful in vitro fertilization procedure 1 month earlier and had had another embryo implantation 6 days earlier. She had been receiving intramuscular injections of estradiol and progesterone in sesame oil to support implantation. A chest radiograph demonstrated extensive bilateral pulmonary consolidation; a leukocytosis count of 19.7 x 10(9) with 20% eosinophils was noted on a CBC count. A MEDLINE search yielded a case report in infertility literature describing an eosinophilic pneumonitis with similar clinical features after injections of progesterone in sesame oil. Treatment with intravenous corticosteroids was initiated in the ED, resulting in symptom and chest radiograph result improvement within 2 days and sparing the patient further imaging and antibiotic therapy.

References

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Citations

Feb 9, 2012·Journal of Assisted Reproduction and Genetics·Brian M Berger, James A Phillips
Dec 15, 2012·Reproductive Biology and Endocrinology : RB&E·Xi-Ru LiuHong-Bo Qi
Aug 21, 2013·Annals of the American Thoracic Society·Christopher J RichardsPeter Clardy
Oct 16, 2013·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Joyce T HsuLynda C Schneider
Feb 1, 2011·Clinics in Chest Medicine·N FreymondJ F Cordier
Apr 15, 2008·Fertility and Sterility·Ziad R Hubayter, Suheil J Muasher
Sep 9, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Walter Ciampaglia, Graciela E Cognigni
Jan 22, 2008·Fertility and Sterility·Amir M KhanPhilip Klapper
Jan 4, 2018·Journal of Community Hospital Internal Medicine Perspectives·Anita Ahuja, Ossama Ikladios
Jul 13, 2007·Human Reproduction Update·H M FatemiP Devroey
Apr 30, 2019·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Vlatka TomicKatarina Vucic
Feb 21, 2021·Hormone Molecular Biology and Clinical Investigation·Nathalie F WangSven O Skouby

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