A Case of Secondary Organizing Pneumonia Occurring in Therapy for Lung Abscess.
10.4046/trd.2007.62.6.540
- Author:
Hyeon Young YOON
1
;
Suk Ui OH
;
Jong Gyu PARK
;
Tae Rim SIN
;
Sang Myeon PARK
Author Information
1. Departments of Internal Medicine, Hallym University College of Medicine, Seoul, Korea. thoraxmd@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Lung abscess;
Organizing pneumonia;
TBLB
- MeSH:
Anti-Bacterial Agents;
Biopsy;
Bronchioles;
Bronchiolitis Obliterans;
Cough;
Diabetes Mellitus;
Dyspnea;
Fever;
Humans;
Lung Abscess*;
Lung*;
Middle Aged;
Pneumonia*;
Prednisone
- From:Tuberculosis and Respiratory Diseases
2007;62(6):540-544
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The patient is a 62-year-old man with known diabetes mellitus who presented with a two-weeks-history of dyspnea, cough, and fever. He was diagnosed with a lung abscess in the right upper lobe and was treated with intravenous antibiotics. The patient's clinical and radiological findings improved within seven days after medical treatment. However, newly developed ground-glass opacity and infiltrations were observed in the right lower lung. Fourteen days after admission, the patient's symptoms and imaging finding became aggravated despite trestment with susceptible antibiotics for lung abscess. Trans-bronchial lung biopsy (TBLB) was performed in the lateral basal segment of the right lower lobe of the lung. A histologic photomicrograph showed organizing pneumonia, also called bronchiolitis obliterans with organizing pneumonia(BOOP), that became more definite as the terminal bronchioles and alveoli became occluded with masses of inflammatory cells and fibrotic tissue. The clinical symptoms and radiograph findings resolved quickly with prednisone treatment. We report a case of secondary organizing pneumonia diagnosed after TBLB following lung abscess treatment and provide a review of the literature.
