Severe Acute Fibrinous and Organizing Pneumonia Causing Acute Respiratory Distress Syndrome and Shock
Severe Acute Fibrinous and Organizing Pneumonia Causing Acute Respiratory Distress Syndrome and Shock
复制标题
DOI：
10.1097/lbr.0b013e318222a4f2
复制
发表时间：
2011-07-01
影响因子：
3.3
通讯作者：
Diaz-Fuentes, Gilda
中科院分区：
文献类型：
--
作者：
Rapaka, Vimala;Hussain, Muhammad Azam;Diaz-Fuentes, Gilda
Acute fibrinous and organizing pneumonia (AFOP) is a newly recognized form of diffuse lung injury. The histologic pattern is described as a variant of cryptogenic organizing pneumonia. AFOP is a very rare finding in a human immunodeficiency virusinfected patient. We present a unique case of a 38-year-old human immunodeficiency virus-infected patient admitted with acute respiratory distress syndrome and shock. Flexible bronchoscopy with transbronchial biopsy was consistent with AFOP. He had clinical and radiologic improvement with a course of systemic corticosteroids. This case illustrates that interstitial lung diseases, specifically AFOP, should be included in the differential diagnosis of diffuse lung diseases in patients with respiratory failure with or without shock. Flexible bronchoscopy aids in establishing the diagnosis.
