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Case Reports
. 1997 Jan;12(1):70-4.
doi: 10.3904/kjim.1997.12.1.70.

A case of bronchiolitis obliterans organizing pneumonia associated with adenovirus

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Case Reports

A case of bronchiolitis obliterans organizing pneumonia associated with adenovirus

J S Jeon et al. Korean J Intern Med. 1997 Jan.

Abstract

A 58-year-old man described a short history of dyspnea and a preceding flu like illness with roentgenographic features of an interstitial lung disease. An open lung biopsy specimen from him showed bronchiolitis obliterans with organizing pneumonia (BOOP). Adenovirus was isolated from a throat swab. There was both clinical and radiographic improvement with supportive care. We herein report a first case of BOOP associated with adenovirus in Korea.

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Figures

Fig. 1.
Fig. 1.
Chest P-A on admission shows bilateral interstitial infiltrate with patchy ground-glass opacities.
Fig. 2.
Fig. 2.
High resolution computer tomography (HRCT) shows bilateral patchy involvement of alveolar consolidation in mainly both lower lobe and focal ground-glass lesion is also noted.
Fig. 3.
Fig. 3.
Low power view shows elongated or serpiginous polypoid plugs of fibroblastic tissue filling air spaces (H-E, × 40).
Fig. 4.
Fig. 4.
The air spaces and bronchioles were filled with edema and fibrinous exudate and their lining cells were mostly necrotic or sloughed (H-E, × 100).

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