Document Detail

Respiratory bronchiolitis: an unusual cause of pulmonary infiltrates in a pregnant woman.
MedLine Citation:
PMID:  11014379     Owner:  NLM     Status:  MEDLINE    
Numerous mechanical, biochemical, and immunologic changes occur during pregnancy. Because of these changes, pregnant women are more susceptible to infection, thromboembolic disease, exacerbation of underlying immunologic disease, and heart failure than women who are not pregnant. The differential diagnosis of diffuse pulmonary infiltrates in a pregnant woman is broad; thus, the work-up can be very challenging. If the patient fails to respond to conservative measures, such as antibiotics, the cause of the infiltrate must be aggressively evaluated because the treatment may be essential for the survival of the mother and fetus. We report a case of a pregnant woman who presented with diffuse bilateral infiltrates. After video-assisted thoracoscopic lung biopsy, this patient was found to have respiratory bronchiolitis, a disease not previously reported during pregnancy. Treatment with glucocorticoids resulted in a prompt improvement in symptoms.
S Ie; B Alper; H M Szerlip
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  320     ISSN:  0002-9629     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-10-17     Completed Date:  2000-10-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  219-21     Citation Subset:  AIM; IM    
Department of Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA.
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MeSH Terms
Bronchiolitis / diagnosis,  drug therapy,  immunology*,  pathology*
Bronchoalveolar Lavage
Chemotaxis, Leukocyte / immunology*
Glucocorticoids / therapeutic use
Macrophages, Alveolar / immunology*,  pathology
Pregnancy Complications / diagnosis,  drug therapy,  immunology*,  pathology*
Reg. No./Substance:

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