A CAPD patient with Organizing Pneumonia.
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We report the case of a CAPD patient who developed organizing pneumonia. A 64-year-old male developed renal failure due to proliferative glomerulonephritis. CAPD was started in April 1987. A violent fit of coughing occurred in January 1990. Chest X-ray films showed infiltrates of the right middle and lower lung fields. He was treated with ciprofloxacin hydrochloride 300mg/day for a diagnosis of pneumonia and bronchitis. The cough improved in several days, but the abnormal shadow did not completely disappear. In January 1990, he was admitted to Hiroshima University Hospital for a complete medical examination. Physical examination at the time of admission revealed moist rales over the right lung field and mild edema in both lower extremities. Laboratory findings at the time of admission: white blood cell count, 5, 800/mm3; sedimentation rate, 160mm in 1 hour; CRP, 3.0mg/dl. Transbronchial lung biopsy was performed and pathologic findings included thickening of alveolar walls by fibrosis and some alveoli filled with immature fibroblasts. Based on these findings we diagnosed organizing pneumonia. He was treated with prednisolone 20mg/day and the abnormal shadow disappeared. If an abnormal shadow on chest X-ray films does not improve with antibiotic treatment in a CAPD patient, the diagnosis of organizing pneumonia should be considered.
- 社団法人 日本透析医学会の論文
社団法人 日本透析医学会 | 論文
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