Chakravorty, I; Oldfield, WL; Gómez, CM
(2008)
Rapidly progressive Bronchiolitis Obliterans Organising Pneumonia presenting with pneumothorax, persistent air leak, acute respiratory distress syndrome and multi-organ dysfunction: a case report.
Journal of Medical Case Reports, 2 (145).
ISSN 1752-1947
https://doi.org/10.1186/1752-1947-2-145
SGUL Authors: Chakravorty, Indranil
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Abstract
Introduction: Bronchiolitis Obliterans Organising Pneumonia (BOOP) may often present initially as a recurrent spontaneous pneumothorax and then develop multi-system complications.
Case presentation: A 17-year-old boy presented with a pneumothorax, which developed into rapidly progressive Bronchiolitis Obliterans Organising Pneumonia (BOOP). He developed multiorgan dysfunction (including adult respiratory distress syndrome, oliguric renal failure, acute
coronary syndrome, cardiac failure and a right atrial thrombus) which necessitated prolonged intensive care. Diagnosis was confirmed on open lung biopsy and he responded well to treatment with corticosteroids.
Conclusion: BOOP is exquisitely sensitive to oral corticosteroids but if the diagnosis is not considered in such patients and appropriate treatment instituted early, BOOP may often lead to
prolonged hospital admission with considerable morbidity.
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