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The Journal of the Royal Society for the Promotion of Health
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Lessons to be learned: a case study approach

Bronchiolitis obliterans organising pneumonia: a reversible cause of respiratory failure

Kamlesh Mohan, MBBS, MRCP

Department of Thoracic Medicine, Crawley Hospital, Crawley RH11 7DH, England

Richard Sayer, FRCS

Department of Thoracic Surgery, St George’s Hospital, London SW17 0QT, England

Devikumar Acharya, MD, MRCP

Department of Thoracic Medicine, Crawley Hospital, Crawley RH11 7DH, England

A 70-year-old lady was admitted to hospital through the casualty department with suspected bilateral community acquired pneumonia. Although she received intravenous antibiotics, high concentrations of supplemental inhaled oxygen and continuous positive airway pressure therapy there was failure to respond. Abnormal levels of peripheral blood neutrophil and eosinophil counts as well as computerised tomography chest scan appearances suggested bronchiolitis obliterans organising pneumonia. The diagnosis was confirmed by a lung biopsy obtained by video-assisted thoracoscopy under general anaesthesia. She made a prompt and complete recovery with oral steroid treatment.

Key Words: Acute respiratory failure • bronchiolitis obliterans organising pneumonia (BOOP)

The Journal of the Royal Society for the Promotion of Health, Vol. 124, No. 4, 188-190 (2004)
DOI: 10.1177/146642400412400413
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