ALL THAT GLITTERS IS NOT GOLD. CONSOLIDATION, PYREXIA AND LEUCOCYTOSIS. CRYPTOGENIC ORGANIZING PNEUMONIA MIMICKING COMMUNITY ACQUIRED PNEUMONIA

Abstract

An elderly male office worker in a ceramics factory, known to have coronary heart disease and hepatitis C related chronic liver disease was hospitalized with fever, leucocytosis and bilateral peripheral patchy alveolar infiltrates. He was prescribed empirical antibiotics and underwent various investigations including high resolution CT chest after which broncho-alveolar lavage and transbronchial biopsies were performed that were consistant with mixed cellularity and bronchiolitis obliterans organizing pneumonia (BOOP) on histology, respectively. He was treated with prednisolone in tapering doses that lead to clinical and radiological resolution.