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A Case of Secondary Organizing Pneumonia Occurring in Therapy for Lung Abscess  

Yoon, Hyeon Young (Department of Internal Medicine, Hallym University College of Medicine)
Oh, Suk Ui (Department of Internal Medicine, Hallym University College of Medicine)
Park, Jong Gyu (Department of Internal Medicine, Hallym University College of Medicine)
Sin, Tae Rim (Department of Internal Medicine, Hallym University College of Medicine)
Park, Sang Myeon (Department of Internal Medicine, Hallym University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.62, no.6, 2007 , pp. 540-544 More about this Journal
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.
Keywords
Lung abscess; Organizing pneumonia; TBLB;
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