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VOLUME 10 , ISSUE 1 ( January-April, 2021 ) > List of Articles


Bronchiolitis Obliterans Organizing Pneumonia in a Young Healthy Female Patient

Zubair Ahmed, Naveed Ahmed, Waheed Ahmad Baig

Keywords : Cryptogenic organizing pneumonia, fiberoptic bronchoscopy, transbronchial biopsy

Citation Information : Ahmed Z, Ahmed N, Baig WA. Bronchiolitis Obliterans Organizing Pneumonia in a Young Healthy Female Patient. Indian J Respir Care 2021; 10 (1):139-142.

DOI: 10.4103/ijrc.ijrc_83_20

License: CC BY-NC-SA 4.0

Published Online: 06-12-2022

Copyright Statement:  Copyright © 2021; Indian Journal of Respiratory Care.


One of the idiopathic respiratory tract inflammation is cryptogenic organizing pneumonia (COP). Most patients are symptomatic for <2 months and have a clinical presentation that resembles community-acquired pneumonia. The diagnosis of COP requires histopathologic identification of a predominant pattern of organizing pneumonia and the exclusion of any possible cause. In the patient described herein with interstitial pulmonary disease, the diagnosis of COP was achieved by fiberoptic bronchoscopy. The pathologic findings disclosed bronchioles, alveolar ducts, and alveoli infiltrated with mononuclear cells. The lumina were obliterated with fibroblasts and loose granulation tissue. Corticosteroid treatment resulted in significant improvement. In our patient, the only significant finding was profound Type I respiratory failure without significant raised inflammatory markers. Transbronchial biopsy was a key in making a diagnosis of our patient, as the patient was unwell to undergo video-assisted thoracoscopic surgery.

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