I only hope I can get that frightening image out of my mind someday....
In reference to the original poster on eosinophilic pnuemonia and for the cite-impaired:
[Acute Eosinophilic Pneumonia in US Military Personnel
Severe acute pneumonitis among deployed U.S. military personnel -- Southwest Asia, March-August 2003 [CDC. MMWR. 2003;52:857]. Abstract. This is a report on 19 US military personnel stationed in the Central Command (CENTCOM) area who had acute bilateral pneumonitis requiring intubation and mechanical ventilation. The median age was 25 years, a variety of military activities were involved, the onset occurred at a median of 81 days after deployment, and clinical investigation showed that 10 had evidence of increased eosinophils that were in peripheral blood (n =

, bronchoalveolar lavage (BAL) fluid (n = 3), pulmonary tissue (n = 1), and/or pleural fluid (n = 1). In the 8 with peripheral eosinophilia, the absolute eosinophil count (AEC) was 2000-6600/mL (normal is < 600), and this was noted at a median of 6 days after the onset of illness. On the basis of these observations, the following interim case definition was given:
Confirmed case: US military or government employee deployed to CENTCOM with bilateral pneumonitis requiring mechanical ventilation not ascribed to other medical conditions plus elevated pulmonary eosinophils by histology, BAL (> 5%) or in pleural fluid (> 5%)
Review of the 19 cases noted above showed 4 were confirmed, 6 were probable, and 9 were suspect. Of these 19, 13 were in Iraq, 15 (79%) smoked cigarettes or cigars, and 9 of 10 with confirmed or probable severe acute pneumonitis had begun smoking after deployment. The cause of this syndrome is not known, but the authors noted that in 1997, 2 soldiers had a similar syndrome after field training in the Mojave Desert in California.[1]]
Interesting that the syndrome is still so poorly understood and so many of these are showing up in desert environments...