Liu M, Dong XY, Ding ZX, Wang QH, Li DH. Organizing pneumonia secondary to pulmonary tuberculosis: A case report. World J Clin Cases 2024; 12(26): 5974-5982 [PMID: 39286380 DOI: 10.12998/wjcc.v12.i26.5974]
Corresponding Author of This Article
De-Hui Li, BM, Chief Doctor, Department of Infectious Diseases, Changde Hospital, Xiangya School of Medicine, Central South University (The First People’s Hospital of Changde City), No. 818 Renmin Road, Wuling District, Changde 41500, Hunan Province, China. cdyygrk@163.com
Research Domain of This Article
Respiratory System
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 16, 2024; 12(26): 5974-5982 Published online Sep 16, 2024. doi: 10.12998/wjcc.v12.i26.5974
Organizing pneumonia secondary to pulmonary tuberculosis: A case report
Min Liu, Xi-Yang Dong, Zhi-Xiang Ding, Qing-Hai Wang, De-Hui Li
Min Liu, Xi-Yang Dong, Zhi-Xiang Ding, Qing-Hai Wang, De-Hui Li, Department of Infectious Diseases, Changde Hospital, Xiangya School of Medicine, Central South University (The First People’s Hospital of Changde City), Changde 415000, Hunan Province, China
Author contributions: Liu M contributed to the diagnosis of this case, drafting the article; Dong XY and Ding ZX contributed to the diagnosis of this case; Wang QH contributed to histological diagnosis; Li DH conceived the idea of the manuscript, responsible for the patient’s follow-up, critical revision of the article and final approval of the version to be published; All authors read and approved the final manuscript.
Supported by The Science and Technology Innovation Program of Changde City.
Informed consent statement: Study participant provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: De-Hui Li, BM, Chief Doctor, Department of Infectious Diseases, Changde Hospital, Xiangya School of Medicine, Central South University (The First People’s Hospital of Changde City), No. 818 Renmin Road, Wuling District, Changde 41500, Hunan Province, China. cdyygrk@163.com
Received: March 27, 2024 Revised: June 7, 2024 Accepted: July 10, 2024 Published online: September 16, 2024 Processing time: 118 Days and 3.8 Hours
Abstract
BACKGROUND
Organizing pneumonia secondary to pulmonary tuberculosis is rare. Moreover, the temporal boundary between pulmonary tuberculosis and secondary organizing pneumonia has not been defined. We report a case of secondary organizing pneumonia associated with pulmonary tuberculosis occurring after nine months of antituberculosis treatment.
CASE SUMMARY
A 54 years old man, previously diagnosed with pulmonary tuberculosis and tuberculous pleurisy, underwent nine months of antituberculosis treatment. Follow-up lung computed tomography revealed multiple new subpleural ground-glass opacities in both lungs, and a lung biopsy confirmed organizing pneumonia. Treatment continued with anti-tuberculosis agents and hormone therapy, and subsequent dynamic pulmonary computed tomography exams demonstrated improvement in lesion absorption. No disease recurrence was observed after corticosteroid therapy discontinuation.
CONCLUSION
When treating patients with active pulmonary tuberculosis, if an increase in lesions is observed during anti-tuberculosis treatment, it is necessary to consider the possibility of tuberculosis-related secondary organizing pneumonia, timely lung biopsy is essential for early intervention.
Core Tip: We report a case of secondary organizing pneumonia associated with pulmonary tuberculosis occurring after nine months of antituberculosis treatment. So when treating patients with active pulmonary tuberculosis, if an increase in lesions is observed during antituberculosis treatment, it is necessary to consider the possibility of tuberculosis-related secondary organizing pneumonia, and timely lung biopsy is essential for early intervention.
