Idiopathic pneumonia syndrome after bone marrow transplantation presenting with 'crazy-paving' pattern on high-resolution computed tomography: a case report
2008

Case Report of Idiopathic Pneumonia Syndrome After Bone Marrow Transplantation

Sample size: 1 publication Evidence: low

Author Information

Author(s): Gasparetto Taisa Davaus, Marchiori Edson, Guimarães Marina B, Escuissato Dante Luiz, Zanetti Gláucia

Primary Institution: Department of Radiology of the Fluminense Federal University

Hypothesis

The study aims to report a case of idiopathic pneumonia syndrome after bone marrow transplantation presenting with a 'crazy-paving' pattern on high-resolution computed tomography.

Conclusion

The idiopathic pneumonia syndrome should be considered in the differential diagnosis of pulmonary complications after bone marrow transplantation when a 'crazy-paving' pattern is observed on high-resolution CT.

Supporting Evidence

  • The patient presented with thoracic pain, dry cough, and dyspnea 16 days after bone marrow transplantation.
  • High-resolution CT showed a bilateral lesion with ground-glass opacities and interlobular septal thickening.
  • The diagnosis of idiopathic pneumonia syndrome was made following established clinical and imaging criteria.
  • Corticosteroids were introduced, leading to improvement in the patient's symptoms.

Takeaway

A patient developed a lung problem after a bone marrow transplant, which looked like a crazy-paving pattern on a CT scan, but got better with treatment.

Methodology

The case report details the clinical presentation, imaging findings, and treatment of a patient with idiopathic pneumonia syndrome after bone marrow transplantation.

Limitations

The study is based on a single case report, limiting the generalizability of the findings.

Participant Demographics

A 51-year-old male patient.

Digital Object Identifier (DOI)

10.1186/1757-1626-1-234

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