tetano
Editor, Senior Moderator
Clin Pract
. 2021 Mar 10;11(1):174-177.
doi: 10.3390/clinpract11010024.
An Uncommon Case of Secondary Organizing Pneumonia Due to Influenza Type B
Parth Shah[SUP] 1 [/SUP], Philip T Sobash[SUP] 1 [/SUP], Krishna Vedala[SUP] 1 [/SUP], Krishna Kakkera[SUP] 2 [/SUP], Gilbert-Roy Kamoga[SUP] 1 [/SUP]
Affiliations
Abstract
Secondary organizing pneumonia refers to a disease process caused by pulmonary tissue injury. Various insults can cause secondary organizing pneumonia, including multiple types of infections and cancer. The mainstay of diagnosis is a combination of imaging and lung biopsy showing inflammatory changes, specifically plugs with granulated tissue and fibrosis. Clinical suspicion needs to be raised for secondary organizing pneumonia when a patient is requiring increasing amounts of oxygen in the presence of treatment for pneumonia or another underlying lung disease. Here, we present the case of a 65-year-old male who presented with acute hypoxemic respiratory failure in the setting of previously having been tested positive for influenza B. Aggressive steroids with eventual tapering of his O[SUB]2[/SUB] requirements led to a successful outcome. While influenza has been reported as a cause of secondary organizing pneumonia after proceeding infection, these cases are usually represented by type A, rather than B.
Keywords: influenza B; secondary organizing pneumonia; viral pneumonia.
. 2021 Mar 10;11(1):174-177.
doi: 10.3390/clinpract11010024.
An Uncommon Case of Secondary Organizing Pneumonia Due to Influenza Type B
Parth Shah[SUP] 1 [/SUP], Philip T Sobash[SUP] 1 [/SUP], Krishna Vedala[SUP] 1 [/SUP], Krishna Kakkera[SUP] 2 [/SUP], Gilbert-Roy Kamoga[SUP] 1 [/SUP]
Affiliations
- PMID: 33802037
- DOI: 10.3390/clinpract11010024
Abstract
Secondary organizing pneumonia refers to a disease process caused by pulmonary tissue injury. Various insults can cause secondary organizing pneumonia, including multiple types of infections and cancer. The mainstay of diagnosis is a combination of imaging and lung biopsy showing inflammatory changes, specifically plugs with granulated tissue and fibrosis. Clinical suspicion needs to be raised for secondary organizing pneumonia when a patient is requiring increasing amounts of oxygen in the presence of treatment for pneumonia or another underlying lung disease. Here, we present the case of a 65-year-old male who presented with acute hypoxemic respiratory failure in the setting of previously having been tested positive for influenza B. Aggressive steroids with eventual tapering of his O[SUB]2[/SUB] requirements led to a successful outcome. While influenza has been reported as a cause of secondary organizing pneumonia after proceeding infection, these cases are usually represented by type A, rather than B.
Keywords: influenza B; secondary organizing pneumonia; viral pneumonia.