title: [Therapy-resistant pneumonia].
abstract: We report the case of a 72 year old patient with B-symptoms and a persistent pulmonary infiltrate despite an antibiotic therapy. Buds of granulation tissue were found by transbronchial biopsy proving an organizing pneumonia. B-Symptoms and pulmonary infiltrate were improved immediately by a therapy with steroids. Even though there were reasons for a secondary organizing pneumonia due to a known chronic lymphocytic leukemia and a pneumonia treated four months before, we consider a cryptogenic organizing pneumonia as most probable.
authors.affiliation: Universitätsklinik für Allgemeine Innere Medizin, Inselspital, Universitätsspital Bern.
authors.forename: Andreas
authors.initials: A
authors.lastname: Oestmann
authors.affiliation: Institut für Pathologie, Universität Bern, Inselspital, Universitätsspital Bern.
authors.forename: Stephan Christian
authors.initials: SC
authors.lastname: Schäfer
authors.affiliation: Universitätsklinik für Pneumologie, Inselspital, Universitätsspital Bern.
authors.forename: Thomas
authors.initials: T
authors.lastname: Geiser
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001706:Biopsy; D001943:Breast Neoplasms / Q000175:diagnosis / Q000473:pathology; D001999:Bronchoscopy; D015897:Comorbidity; D018549:Cryptogenic Organizing Pneumonia / Q000175:diagnosis* / Q000473:pathology; D004352:Drug Resistance, Microbial; D005260:Female; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000175:diagnosis / Q000473:pathology; D008168:Lung / Q000473:pathology; D009367:Neoplasm Staging; D011014:Pneumonia / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology*; D014057:Tomography, X-Ray Computed
chemical_list: D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents
keywords: Kortikosteroide; Kryptogen organisierende Pneumonie; Masson-Körperchen; buds of granulation tissue (Masson-bodies); chronic lymphocytic leukemia; chronisch-lymphatische Leukämie; corticoid steroids; cryptogenic organizing pneumonia