scholarly journals NOVEL APPROACH TO MANAGEMENT OF SECONDARY BRONCHIOLITIS OBLITERANS ORGANIZING PNEUMONIA FOLLOWING INFLUENZA A

2020 ◽  
Vol 8 (10) ◽  
pp. 292-297
Author(s):  
Dushantha Madegedara ◽  
Ishelda Nawarathne ◽  
Lihini Basnayake ◽  
S. A. Luckmy ◽  
B Imbulpitiya

A 50-year old man presented with a short history of fever, pleuritic type chest pain followed by progressively worsening dyspnea and hypoxemic respiratory failure. Influenza A virus antigen was identified from a throat swab. Mechanical ventilation and oseltamivir therapy were commenced, but was associated with an unfavorable response. High-resolution computed tomography (HRCT) of chest revealed features of Bronchiolitis Obliterans Organizing Pneumonia (BOOP). Here we report the 1st case of steroid resistant BOOP secondary to influenza A infection which subsequently responded well to Cyclophosphamide therapy.

2003 ◽  
Vol 10 (5) ◽  
pp. 278-279 ◽  
Author(s):  
Mark O Turner

A 47-year-old man presented with an eight-day history of nonproductive cough and constitutional symptoms progressing to respiratory failure. High resolution computed tomography revealed a diffuse micronodular pattern and a ‘tree-in-bud’ pattern in the lower lung zones. Transbronchial biopsy showed features consistent with bronchiolitis obliterans organizing pneumonia (BOOP). After an initially difficult clinical course, the patient responded well to long term treatment with corticosteroids, including improvement of air flow obstruction. This case illustrates a variant of BOOP characterized by a comparatively acute onset, a component of proliferative bronchiolitis, an obstructive rather than restrictive pattern of pulmonary function testing and good clinical response to corticosteroid therapy.


2005 ◽  
Vol 59 (3) ◽  
pp. 315 ◽  
Author(s):  
Jong Hoo Lee ◽  
Myung Jae Park ◽  
Yi Hyung Kim ◽  
Byung Jo Park ◽  
Won Taek Oh ◽  
...  

2004 ◽  
Vol 10 (3) ◽  
pp. 456-459 ◽  
Author(s):  
Roopa Kohli-Seth ◽  
Claude Killu ◽  
May Jennifer Amolat ◽  
John Oropello ◽  
Anthony Manasia ◽  
...  

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