THE CRYPTOGENIC ORGANIZING PNEUMONIA (CLINICAL CASE)

N. V. Glutkina, E. Y. Kulaga, E. T. Volkova, Vl. V. Zinchuk
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Abstract

Recently, there has been the rise in interest in the problem of rare and interstitial lung diseases. This is due, among other things, to the wide spread of non-invasive diagnostic tools and the expansion of therapeutic possibilities thanks to modern pharmacotherapy. The objective of this study is to analyze a clinical case (diagnosis and management) of the cryptogenic organized pneumonia. An example of the diagnostic challenges in cryptogenic organizing pneumonia is given. A female patient was admitted to the Department of Pulmonology with the diagnosis of bilateral polysegmental pneumonia, prolonged course (was receiving antibiotic therapy for 1.5 month, however the condition hasn’t improved despite the received treatment). After further examination, the diagnosis of cryptogenic organizing pneumonia was made and the therapy was administered. Conclusion. The described case demonstrates diagnostic challenges in cryptogenic organizing pneumonia (the need for interdisciplinary approach) and a good response to therapy with glucocorticosteroids.
隐性有组织肺炎(临床病例)
近来,人们对罕见肺病和间质性肺病问题的兴趣日益浓厚。这主要归功于非侵入性诊断工具的广泛普及和现代药物疗法带来的治疗可能性的扩大。本研究旨在分析一例隐源性有组织肺炎的临床病例(诊断和治疗)。本研究举例说明了隐源性有组织肺炎的诊断难题。肺科收治了一名女性患者,诊断为双侧多节段肺炎,病程较长(已接受抗生素治疗 1.5 个月,但接受治疗后病情仍未好转)。经过进一步检查,诊断为隐源性组织化肺炎,并进行了治疗。结论该病例显示了隐源性组织化肺炎的诊断难题(需要采取跨学科方法)以及对糖皮质激素治疗的良好反应。
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