A 55-year-old woman on ICU is receiving IV amiodarone for new-onset atrial fibrillation. She develops acute breathlessness and a new ground-glass opac...

Question

A 55-year-old woman on ICU is receiving IV amiodarone for new-onset atrial fibrillation. She develops acute breathlessness and a new ground-glass opacity on CXR. CT shows diffuse bilateral ground-glass changes with areas of consolidation. BAL shows a mixed inflammatory infiltrate with foamy macrophages. Eosinophils are mildly elevated. Drug-induced lung toxicity is suspected. What is the most likely diagnosis?

Accepted Answer

Amiodarone pulmonary toxicity

Answer

Hospital-acquired pneumonia

Answer

Pulmonary embolism

Answer

Pulmonary haemorrhage

Answer

Cardiogenic pulmonary oedema

uk-fficm MCQ (SBA): Amiodarone Pulmonary Toxicity