肺结核相关急性纤维素性和机化性肺炎：病例报告及文献复习。
Pulmonary tuberculosis associated acute fibrinous and organizing pneumonia: A case report and literature review.
机构信息
Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing, China.
Department of Pathology, Peking University First Hospital, Beijing, China.
出版信息
Clin Respir J. 2023 Jun;17(6):499-506. doi: 10.1111/crj.13626. Epub 2023 May 8.
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.
背景
急性纤维蛋白性和机化性肺炎（AFOP）是一种罕见的组织学间质性肺炎模式，其特征是肺泡内分布有“纤维球”斑块和机化性肺炎。目前，对于这种疾病的诊断和治疗尚无共识。
方法
我们报告了一例由结核分枝杆菌引起的 AFOP 的 44 岁男性病例。我们进一步回顾了由结核分枝杆菌引起的机化性肺炎（OP）和 AFOP。
结论
OP 或 AFOP 继发于结核分枝杆菌的情况较为罕见，诊断具有挑战性。我们需要根据患者的症状、检查结果和治疗反应不断调整治疗方案，以得出准确的诊断并最大限度地提高治疗效果。
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