Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

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: 01-12-2018

Copyright Statement:  Copyright © 2012; The Author(s).


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.


PDF Share
  1. Excerpts from the US Renal Data System 2009 Annual Data Report. Am J Kidney Dis 2010;55:S1-420, A6-7.
  2. Infectious complications in chronic kidney disease. Adv Chronic Kidney Dis 2006;13:199-204.
  3. Infectious complications in patients with chronic kidney disease. Adv Chronic Kidney Dis 2006;13:197-8.
  4. Bronchiolitis obliterans organizing pneumonia. Crit Care Nurse. 2007;27:53-66;quiz 67.
  5. Post-transplant infections: An ounce of prevention. Indian J Nephrol 2010;20:171-8
  6. BOOP (bronchiolitis obliterans organizing pneumonia) after renal transplantation. Nephrol Dial Transplant 1996;11:1862-3.
  7. Renal transplant with bronchiolitis obliterans organizing pneumonia (BOOP) attributable to tacrolimus and herpes simplex virus (HSV) pneumonia. Heart Lung 2012;41:310-5..
  8. Brief communication: sirolimus-associated pneumonitis: 24 cases in renal transplant recipients. Ann Intern Med 2006;144:505-9.
  9. Renal-pulmonary crosstalk. Contrib Nephrol 2011;174:65-70.
  10. Respiratory function abnormalities in uremic patients. G Ital Nefrol 2004;21:29-33.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.