Cryptogenic Organizing Pneumonia Repeatedly Misdiagnosed as Community Acquired Pneumonia
MEI Zhou-fang
QIAN Ling
DU Yong
SHI Jing-dong
HE Wei
JIE Zhi-jun
Abstract：Objective To study the diagnosis and treatment of cryptogenic organizing pneumonia (COP), so as to re-duce misdiagnosis rate. Methods Clinical data of one case of community acquired pneumonia misdiagnosed as COP in our hospital was retrospectively analyzed, with a review of literature. Results The patient had been hospitalized 5 months before for lung exudation. CT scanning in a local hospital supported diagnosis of CAP and anti-infection therapy failed to respond. Our hospital chest CT scan showed multiple exudation in both lungs; bronchoscopy checked patency of every lumen; B type ul-trasound revealed no enlarged superficial lymph nodes; lung biopsy and pathological examination showed COP, the patient's symptoms were significantly relieved after high dose glucocorticoid pulse therapy for one week and at the same time, most le-sions were absorbed. Conclusion For multiple pulmonary exudative consolidation patients with long course of disease, re-fractory to conventional anti infection treatment, especially for the glucocorticoid sensitivity, COP should be considered and fi-beroptic bronchoscopy or CT guided percutaneous lung biopsy should be performed in order to reduce the misdiagnosis and mis-treatment rates.
Keywords：Cryptogenic organizing pneumoniaMisdiagnosisPneumoniaCommunity-acquired infectionTubercu-losisLung neoplasm
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 12-15 )