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VOLUME 16 , ISSUE 3 ( July, 2012 ) > List of Articles

CASE REPORT

Successful treatment of Bronchiolitis obliterans with organizing pneumonia in dialysis patient

Vivek B. Kute, Hargovind L. Trivedi, Pankaj R. Shah, Manoj R. Gumber, Himanshu V. Patel, Aruna V. Vanikar, Sachin B. Patil

Keywords : Bronchiolitis obliterans with organizing pneumonia, old end stage renal disease, steroid

Citation Information : Kute VB, Trivedi HL, Shah PR, Gumber MR, Patel HV, Vanikar AV, Patil SB. Successful treatment of Bronchiolitis obliterans with organizing pneumonia in dialysis patient. Indian J Crit Care Med 2012; 16 (3):160-162.

DOI: 10.4103/0972-5229.102094

License: CC BY-ND 3.0

Published Online: 00-07-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

A 42-year-old end stage renal disease (ESRD) patient was admitted with fever, anorexia, malaise, non-productive cough, and dyspnea, of one-week duration. Multiple cultures of the blood, sputum, and urine were negative for microorganisms. The possibility of bronchiolitis obliterans with organizing pneumonia (BOOP) was considered when patient with pulmonary infiltrate did not respond to conventional antibiotic therapy and frequent hemodyalisis. High-resolution computed tomography of the chest revealed patchy air-space consolidation, ground-glass opacities, and small nodular opacities, predominantly located at the peripheral part of the lungs. Cultures and stains of bronchoalveolar lavage (BAL) specimen and bronchoscopic biopsy of lung tissue were negative for organisms [bacteria, mycobacterium tuberculosis, PCP, fungus, and atypical organism] and showed evidence of BOOP. Patient recovered completely with early diagnosis and treatment with steroids and underwent successful renal transplantation with wife as donor without postoperative complication and relapse.


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