| CASE REPORT |
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| Year : 2021 | Volume
: 10
| Issue : 1 | Page : 139-142 |
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Bronchiolitis obliterans organizing pneumonia in a young healthy female patient
Zubair Ahmed1, Naveed Ahmed2, Waheed Ahmad Baig2
1 Department of Internal Medicine, King Fahad Military Medical Complex, Dhahran, Saudi Arabia
2 Vice Deanship of Development and Quality, Prince Sultan Military College of Health Sciences, Dhahran, Saudi Arabia
Correspondence Address:
Dr. Zubair Ahmed
Consultant Pulmonologist, Department of Internal Medicine, King Fahd Military Medical Complex, Dhahran
Saudi Arabia
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijrc.ijrc_83_20
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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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