Organizing pneumonia secondary to pulmonary tuberculosis:A case report  

作　　者：Min Liu Xi-Yang Dong Zhi-Xiang Ding Qing-Hai Wang De-Hui Li 

机构地区：[1]Department of Infectious Diseases,Changde Hospital,Xiangya School of Medicine,Central South University(The First People’s Hospital of Changde City),Changde 415000,Hunan Province,China

出　　处：《World Journal of Clinical Cases》2024年第26期5974-5982,共9页世界临床病例杂志

基　　金：Supported by The Science and Technology Innovation Program of Changde City.

摘　　要：BACKGROUND Organizing pneumonia secondary to pulmonary tuberculosis is rare.Moreover,the temporal boundary between pulmonary tuberculosis and secondary organizing pneumonia has not been defined.We report a case of secondary organizing pneumonia associated with pulmonary tuberculosis occurring after nine months of antituberculosis treatment.CASE SUMMARY A 54 years old man,previously diagnosed with pulmonary tuberculosis and tuberculous pleurisy,underwent nine months of antituberculosis treatment.Follow-up lung computed tomography revealed multiple new subpleural groundglass opacities in both lungs,and a lung biopsy confirmed organizing pneumonia.Treatment continued with anti-tuberculosis agents and hormone therapy,and subsequent dynamic pulmonary computed tomography exams demonstrated improvement in lesion absorption.No disease recurrence was observed after corticosteroid therapy discontinuation.CONCLUSION When treating patients with active pulmonary tuberculosis,if an increase in lesions is observed during anti-tuberculosis treatment,it is necessary to consider the possibility of tuberculosis-related secondary organizing pneumonia,timely lung biopsy is essential for early intervention.

关 键 词：Pulmonary tuberculosis Antituberculosis treatment Lung biopsy Organizing pneumonia CORTICOIDS Case report 

分 类 号：R521[医药卫生—内科学] R563.1[医药卫生—临床医学]