Secondary organizing pneumonia after infection  

作　　者：Lertluksana Limkul Prakarn Tovichien 

机构地区：[1]Department of Pediatrics,Faculty of Medicine Siriraj Hospital,Mahidol University,Bangkok 10700,Thailand

出　　处：《World Journal of Clinical Cases》2024年第36期6877-6882,共6页世界临床病例杂志（英文）

摘　　要：This editorial explores the clinical implications of organizing pneumonia(OP)secondary to pulmonary tuberculosis,as presented in a recent case report.OP is a rare condition characterized by inflammation in the alveoli,which spreads to alveolar ducts and terminal bronchioles,usually after lung injuries caused by infections or other factors.OP is classified into cryptogenic(idiopathic)and secondary forms,the latter arising after infections,connective tissue diseases,tumors,or treatments like drugs and radiotherapy.Secondary OP may be triggered by infections caused by bacteria,viruses,fungi,mycobacteria,or parasites.Key diagnostic features include subacute onset of nonspecific respira-tory symptoms such as dry cough,chest pain,and exertional dyspnea.Imaging with computed tomography scans typically reveals three patterns:(1)Bilateral subpleural consolidation;(2)Nodular consolidation;and(3)A reticular pattern.Bronchoscopy with bronchoalveolar lavage helps exclude other causes.Standard treatment consists of corticosteroid therapy tapered over 6 months to 12 months.This editorial highlights clinical and diagnostic strategies to ensure timely and effective patient care.

关 键 词：Organizing pneumonia Secondary organizing pneumonia Cryptogenic organizing pneumonia Bronchoalveolar lavage Atoll sign 

分 类 号：R563.1[医药卫生—呼吸系统]