A Case of Organizing Pneumonia with Migratory Pulmonary Infiltrates
Journal Title: Journal of Clinical and Analytical Medicine - Year 2011, Vol 2, Issue 3
Abstract
Organizing pneumonia (OP) can mimic several parenchymal lung diseases. A 39 year old man tailor, complaining of fever, cough and dyspnea was admitted to our hospital. Examination of the chest revealed rales at the bilateral lower-middle zone. The posteroanterior chest radiograph showed alveolar opacity at the right lower zone. The patient was hospitalized with the probable diagnosis of bacterial pneumonia, and started cephtriaxon 2gr/day and dirithromycin 500 mg/day empirically. Clinical and radiological improvement didn’t appear. PPD and acid fast bacilli in sputum were negative. Two weeks later, the chest radiograph showed that the opacities were migrated to the right middle zone. Open lung biopsy was done. As pathologic findings were consistent with OP, corticosteroid treatment was given. The alveolar opacities disappeared at the control HRCT two months after the start of steroid therapy. Early diagnosis is life-saver and OP must be included in the differential diagnosis when pulmonary infiltrates don’t regress with treatment.
Authors and Affiliations
Nurhan Köksal, Hasan Kahraman, Müge Cinkara
Keywords
Related Articles
- EP ID EP103346
- DOI 10.4328/JCAM.354
- Views 131
- Downloads 0
Anterior Servikal Diskektomi ve Füzyondan Sonra Allogreftin Kırılmasından Dolayı Kusma ve Disfaji
Anterior cervical discectomy and fusion (ACDF) is commonly performed for cervical disk disease. Establishing Fibular allograft after discectomy is frequently applied. A variety of complications may occur such as dyspha...
Single Stage Transthoracic Approach to the Right Lung and Liver Dome Hydatid Cysts
Both lungs and liver hydatid cysts is still an important health problem in our country. In this study we aimed to present the superiority of transthoracic approach to 24 adults right lung and liver dome hydatid cyst M...
Farklı Yaş Grubundakı Hastalarda Laparoskopik Kolesistektomi Sonuçları
Amaç Laparoskopik kolesistektomi benign safra kesesi hastalıklarında en çok tercih edilen metod olmuştur. İleri yaş ,mortalite ve morbiditenin artmasına neden olur. Bu çalışmanın amacı farklı yaşlardaki hastalarda lap...
Fotokatalizörlerin Anti-Mikrobiyal Etkinliğinin Klinik ve Laboratuar Ortamda Değerlendirilmesi
Aim This study aims at investigating and testing the tentative antimicrobial efficacy; in vitro and in- hospital applications of apatite coated ferrum titanate which is one of the new generation photocatalysts. Material an...
Asperger Syndrome In Adulthood: A Review
Asperger’s syndrome (AS) is one of the disorders classified under pervasive developmental disorders. Individuals with AS have problems in social interaction, unusual special interests, and a tendency to ritualized beh...