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The Journal of the American Board of Family Practice, Vol 11, Issue 1 41-45, Copyright © 1998 by American Board of Family Practice

ARTICLES

Bronchiolitis obliterans organizing pneumonia mimicking community-acquired pneumonia

E. Ward and J. Rog
Department of Family Practice, Michigan State University Kalamazoo-Center for Medical Studies 49008, USA.

BACKGROUND: Bronchiolitis obliterans organizing pneumonia is a rare disease that mimics infectious pneumonia. Most patients respond well to corticosteroid therapy. METHODS: We report a single case and findings from an English language literature search of MEDLINE using key words "bronchiolitis obliterans organizing pneumonia." RESULTS AND CONCLUSIONS: Bronchiolitis obliterans organizing pneumonia should be considered when a patient with pneumonia does not respond to antibiotics and has multiple patchy infiltrates and characteristic bronchoalveolar lavage patterns. A tissue sample is required for definitive diagnosis. Infection by a multiresistant organism can occur with multiple antibiotic therapy and concomitant use of corticosteroids, particularly when no initial infecting organism is identified.




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Copyright © 1998 by the American Board of Family Medicine.