Clinical Case Database / Category: Clinical Care
A patient presenting with acute onset breathlessness, fever, respiratory failure and abnormal chest X-ray
Publication details
Suranjan Mukherjee
Foundation Years Journal, volume 5, issue 9, p.49 (123Doc Education, London, October 2011)
Abstract
This case report is about a 38 year old teacher who presented with an acute febrile illness, dyspnoea and respiratory failure. Chest X-ray and CT scan revealed bilateral multifocal consolidations. A diagnosis of organising pneumonia was made after exclusion of community acquired pneumonia (CAP). Organising pneumonia can mimic CAP and early suspicion and diagnosis can lead to treatment with steroids which leads to rapid resolution of symptoms, clinical and radiological signs. Although the reported mean annual incidence is around 1.97/100,000 population, it is thought to be commoner than generally considered. If not treated early, it can progress rapidly and lead to respiratory failure needing ventilatory support. The differential diagnosis and specific investigations of multifocal consolidations followed by management strategies are discussed in the article.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
| Product | Price | Subscription | |
|---|---|---|---|
| Foundation Years Clinical Cases Database | £29.00 | 6 months | |
| Foundation Years Clinical Cases Database | £39.00 | 12 months |
Authors
Suranjan Mukherjee
Consultant Physician, Acute & Respiratory Medicine
Lecturer, Keele University
smukherjee66@yahoo.com
References
1. Cordier JF. Organising pneumonia. Thorax 2000;55:318â€"328.
2. Cordier JF. Cryptogenic organizing pneumonia. Eur Respir J 2006;28:422-446.
3. Davison AG, Heard BE, McAllister WA, et al. Cryptogenic organising pneumonia. Q J Med. 1983;52:382-394.
4. American Thoracic Society/European Respiratory Society. American Thoracic Society/European Respiratory Society International Multidisciplinary Consensus Classification of the Idiopathic Interstitial Pneumonias. Am J Respir Crit Care Med 2002; 165: 277â€"304.
5. Murchison J, Harani N. Cryptogenic organising pneumonia. In: Maskell N, Millar eds. Oxford Desk Reference Respiratory Medicine, 1st edn. New York: Oxford University Press 2009; 144-146.
6. Mehandru S, Smith RL, Sidhu GS, et al. Migratory pulmonary infiltrates in a patient with rheumatoid arthritis. Thorax 2002;57:465â€"467.
7. Lee KS, Kullnig P, Hartman TE, et al. Cryptogenic Organizing pneumonia:CT findings in 43 patients. Am J Roentgenol 1994;162:543-546.
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.