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Review Case Reports
Severe acute respiratory failure secondary to acute fibrinous and organizing pneumonia requiring mechanical ventilation: a case report and literature review.
- Sonia López-Cuenca, Silvia Morales-García, Ana Martín-Hita, Fernando Frutos-Vivar, Pilar Fernández-Segoviano, and Andrés Esteban.
- Intensive Care Unit, Hospital Universitario de Getafe, Madrid, Spain. sonia_l_c@hotmail.com
- Resp Care. 2012 Aug 1;57(8):1337-41.
AbstractA 27-year-old woman was admitted to our ICU with acute hypoxemic respiratory failure and criteria for ARDS. Despite an F(IO(2)) of 1.0 and a lung protective strategy, the patient died on day 15 without any improvement. The relatives gave consent for post-mortem analysis. The histopathologic study of the lung showed findings typical of an acute fibrinous and organizing pneumonia. Apropos of this case we performed a PubMed search. We found 13 articles, including a total of 29 patients. Acute fibrinous and organizing pneumonia is an unusual cause of acute lung injury. The diagnostic criterion is histopathologic. There is little information regarding the pathophysiology of this illness. Important questions remain regarding this disease, including predisposing factors and management. Patients who require mechanical ventilation have poor outcomes.
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