Marek Kučera, Miroslava Čulagová, Dušan Salát
Eosinophilic lung diseases have a very wide spectrum of symptoms. Although they are rare, eosinophilic lung diseases are increasingly identified as a clear-cut clinical entity. In the case of “pulmonary eosinophilic infiltrates” in the differential diagnosis we most often take into consideration an idiopathic hypereosinophilic syndrome, parasitic or fungal infections (allergic bronchopulmonary aspergillosis), Churg-Strauss syndrome and chronic eosinophilic pneumonia. Chronic eosinophilic pneumonia can imitate tuberculosis. Swift clinico-radiological improvement with corticosteroids is a characteristic feature of chronic eosinophilic pneumonia rarely observed with other inflammatory lung disorders and may help to confirm a suspected case. Authors are describing a case report of 21 year old man first treated with combined antimicrobial therapy and with gradual appearance of volatile eosinophilic infiltrations.