Organizing Pneumonia and Non-necrotizing Granulomata on Transbronchial Biopsy: Coexistence or Bronchiolitis Obliterans Organizing Pneumonia Secondary to Mycobacterium kansasii Disease

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Abstract:

Mycobacterium kansasii disease was diagnosed in an 85-year-old woman admitted to the hospital for cough and gradually worsening breathlessness. Transbronchial biopsy indicated either non-necrotizing granulomata or bronchiolitis obliterans organizing pneumonia (BOOP). She was cured with combined therapy of specific anti-mycobacterial medications and systemic steroids. To our knowledge, this is the first report of M. kansasii non-tuberculous mycobacterium disease with a BOOP-like pattern on lung biopsy.

Keywords: Mycobacterium kansasii, non-necrotizing granulomata; bronchiolitis obliterans organizing pneumonia; non-tuberculous mycobacterium disease

Document Type: Research Article

DOI: http://dx.doi.org/10.4187/respcare.01239

Affiliations: Pulmonary Institute, Kaplan Medical Center, Rehovot, Israel. Dr Gurevich is affiliated with Harzfeld Hospital, Gedera, Israel

Publication date: December 1, 2011

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