Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo y học: "Rapidly progressive Bronchiolitis Obliterans Organising Pneumonia presenting with pneumothorax, persistent air leak, acute respiratory distress syndrome and multi-organ dysfunction: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: 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 BioMed Central Open Access Rapidly progressive Bronchiolitis Obliterans Organising Pneumonia presenting with pneumothorax persistent air leak acute respiratory distress syndrome and multi-organ dysfunction a case report Indranil Chakravorty 1 William LG Oldfield2 and Carlos MH Gomez2 Address Department of Respiratory Medicine Lister Hospital Beds Herts Postgraduate Medical School Stevenage UK and 2Adult Intensive Care Unit St Mary s Hospital London UK Email Indranil Chakravorty - i.chakravorty@herts.ac.uk William LG Oldfield-William.Oldfield@St-Marys.nhs.uk Carlos MH Gomez - Carlos.Gomez@St-Marys.nhs.uk Corresponding author Published 6 May 2008 Received 15 June 2007 Journal of Medical Case Reports 2008 2 145 doi l0.ll86 l752-l947-2-145 Accepted 6 May 2008 This article is available from http www.jmedicalcasereports.cOm content 2 l l45 2008 Chakravorty et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. 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 l7-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 .