Organizing Pneumonia and Pulmonary Tuberculosis: Coexistent or Associated Diseases

Sander, Rolf; Gómez, Carlos Maza; Borderías, Luis

doi:10.1016/j.arbr.2016.09.002

Cited by 6 publications

(16 citation statements)

References 3 publications

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“…Among the articles identified in the literature review (Table 2 ), we found two cases that improved after anti-tuberculosis treatment without steroid treatment [ 8 ]. However, there was one case in which the pulmonary lesion was improved after administration of steroids before tuberculosis was diagnosed [ 7 ]; this is similar to case 2 in our study. Lawn et al [ 6 ] reported a case of ARDS similar to case 4 in our study; OP and tuberculosis were demonstrated at postmortem biopsy.…”

Section: Discussionsupporting

confidence: 87%

Pulmonary tuberculosis presenting secondary organizing pneumonia with organized polypoid granulation tissue: case series and review of the literature

Kim

2020

BMC Pulm Med

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Background Secondary organizing pneumonia (SOP) is difficult to distinguish from cryptogenic organizing pneumonia (COP) considering various clinical situations. SOP caused by Mycobacterium tuberculosis is rare; indeed, it has not been reported as a sequela of disseminated tuberculosis. Methods From January 2016 to December 2018, we identified six cases of tuberculosis-associated SOP in which Mycobacterium tuberculosis was revealed by microbiological examination; one of the cases was miliary tuberculosis. Results Of the six cases, 17% were positive for acid fast bacillus (AFB) stain, but 100% were positive for M. tuberculosis polymerase chain reaction (MTB PCR) and AFB culture. In all cases, transbronchial lung biopsy was performed and organizing pneumonia was confirmed pathologically. All survived after treatment with anti-tuberculosis therapy. Conclusions Pulmonary tuberculosis, which shows OP in lung biopsy, is diagnosed through MTB PCR and AFB culture, and the prognosis is thought to be good.

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Section: Discussionsupporting

confidence: 87%

Pulmonary tuberculosis presenting secondary organizing pneumonia with organized polypoid granulation tissue: case series and review of the literature

Kim

2020

BMC Pulm Med

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“…Among the articles identi ed in the literature review (Table 2), we found two cases that improved after anti-tuberculosis treatment without steroid treatment [7]. However, there was one case in which the pulmonary lesion was improved after administration of steroids before tuberculosis was diagnosed [6]; this is similar to case 2 in our study. Lawn et al [5] reported a case of ARDS similar to case 4 in our study; OP and tuberculosis were demonstrated at postmortem biopsy.…”

Section: Treatmentssupporting

confidence: 83%

“…Our literature review to collect articles reporting OP associated with M. tuberculosis infection identi ed ve cases published worldwide (Table 2) [5][6][7][8]. The AFB smear of bronchial wash uid was positive in only one case, reported by Yoon et al [7]; it was negative in bronchial washing uid or sputum in the other four cases [5][6][7][8]. MTB PCR of bronchial washing uid was positive in one case because MTB PCR was performed in only two cases [7].…”

Section: Symptoms and Microbial Test Resultsmentioning

confidence: 99%

“…In case 4, despite the use of anti-tuberculosis drugs after a diagnosis of tuberculosis, ARDS developed and the improved after steroid administration. As of yet, there is no clear standard for which groups in pulmonary Lawn et al [5] Sander et al [6] Yoon et al [7] Hsieh et al [8] No…”

Section: Treatmentsmentioning

confidence: 99%

“…However, OP is characterized histologically by brosis and organization in the alveoli; broblasts play an important role and are recruited in response to alveolar epithelial cell injury [3]. In case 1, OP and granuloma were present; according to Huo et al [24], the presence of epithelioid cell granulomas or giant multinucleated cells in OP is associated with an infectious etiology [6]. In this case, it is predicted that, in some areas, an immune response to typical tuberculosis occurs and, in some areas, broblasts are activated due to alveolar epithelial cell injury, thus showing up as OP.…”

Section: Biopsy Featuresmentioning

confidence: 99%

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Secondary organizing pneumonia associated with pulmonary tuberculosis: case series and review of the literature

Kim¹,

Kim²

2020

Preprint

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Background: Secondary organizing pneumonia (SOP) is difficult to distinguish from cryptogenic organizing pneumonia (COP) considering various clinical situations. SOP caused by Mycobacterium tuberculosis is rare; indeed, it has not been reported as a sequela of disseminated tuberculosis.Methods: From January 2016 to December 2018, we identified six cases of tuberculosis-associated SOP in which Mycobacterium tuberculosis was revealed by microbiological examination; one of the cases was miliary tuberculosis.Results: Of the six cases, 17% were positive for acid fast bacillus (AFB) stain, but 100% were positive for M. tuberculosis polymerase chain reaction (MTB PCR) and AFB culture. In all cases, transbronchial lung biopsy was performed and organizing pneumonia was confirmed pathologically. All survived after treatment with anti-tuberculosis therapy.Conclusions: Even if a biopsy performed in cases with pneumonia showing slow improvement appears to suggest organizing pneumonia, the possibility of tuberculosis should always be kept in mind in areas with high tuberculosis prevalence. MTB PCR appears to be more helpful than AFB stain for the first diagnosis of SOP associated with pulmonary tuberculosis.

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Pulmonary tuberculosis associated acute fibrinous and organizing pneumonia: A case report and literature review

Zhao

Cheng

Xiong

et al. 2023

Clinical Respiratory J

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Background Acute fibrinous and organizing pneumonia (AFOP) is a rare histological interstitial pneumonia pattern characterized by patches of “fibrin balls” distributed within the alveoli and organizing pneumonia. Currently, there is no consensus on the diagnosis and treatment of this disease. Methods We present the case of a 44‐year‐old male with AFOP secondary to Mycobacterium tuberculosis. We have further reviewed organizing pneumonia (OP) and AFOP caused by tuberculosis. Conclusion Tuberculosis secondary to OP or AFOP is rare and challenging to diagnose. We need to constantly adjust the treatment plan based on the patient's symptoms, test results, and response to treatment in order to arrive at an accurate diagnosis and maximize treatment efficacy.

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Organizing Pneumonia and Pulmonary Tuberculosis: Coexistent or Associated Diseases

Cited by 6 publications

References 3 publications

Pulmonary tuberculosis presenting secondary organizing pneumonia with organized polypoid granulation tissue: case series and review of the literature

Pulmonary tuberculosis presenting secondary organizing pneumonia with organized polypoid granulation tissue: case series and review of the literature

Secondary organizing pneumonia associated with pulmonary tuberculosis: case series and review of the literature

Pulmonary tuberculosis associated acute fibrinous and organizing pneumonia: A case report and literature review

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