Cryptogenic organized pneumonia in the immediate puerperium. Retrospective analysis of a clinical case

Authors

DOI:

https://doi.org/10.53358/lauinvestiga.v9i2.588

Keywords:

Corticosteroids, dyspnea, cryptogenic organized pneumonia, puerperium.

Abstract

Cryptogenic organized pneumonia is a type of organized pneumonia of unknown cause. Its diagnosis is by exclusion and should be made based on clinical suspicion, axial tomography findings and response to treatment, mainly with corticosteroids. A clinical case of a 40-year-old female patient is described who, during the immediate puerperium and after an iterated cesarean section, developed an event of severe dyspnea, accompanied by low oxygen saturation. A computerized axial tomography was performed, showing an interstitial lung pattern compatible with organized pneumonia. By ruling out other probable etiologies, it was decided to start treatment based on corticosteroids, with which a favorable response was quickly obtained, thus confirming the diagnosis of cryptogenic organized pneumonia in the immediate puerperium. Therefore, it is considered that the entity that is the object of our discussion can present in unusual contexts such as pregnancy or the puerperium and adequate treatment with corticosteroids will avoid complications and recurrences.

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Author Biographies

Dr. Víctor Patricio Gavilanes Saenz, Hospital General de Latacunga

Universidad Técnica de Ambato. Facultad de Ciencias de la Salud. Carrera de Medicina. Ambato, Código
Postal 180110, Ecuador, https://orcid.org/0000-0002-9624-5840, patoginecovpgs@gmail.com

Verónica Cristina Jurado Melo , Pelileo Basic Hospital. Internal Medicine Service. Technical University of Ambato. Faculty of Health Sciences. Medical career. Ambato. Ecuador.

Hospital Básico Pelileo. Servicio de Medicina Interna. Universidad Técnica de Ambato. Facultad de Ciencias de la Salud. Carrera de Medicina. Ambato, Código Postal 180110, Ecuador, https://orcid.org/0000-0002-5516-8092, verojurado82@gmail.com

 

Silvana Estefanía Jines Dávila , Subcentro de salud de Quiroga

Subcentro de salud de Quiroga. Distrito de Salud 10D03. Cotacachi. Pichincha, Código Postal 170123,
Ecuador, https://orcid.org/0000-0002-8977-1084, silvana.jines@hotmail.com

Luis Humberto Castañeda Guamán, Universidad de las Fuerzas Armadas- ESPE

Universidad de las Fuerzas Armadas- ESPE, sede Sangolquí. Pichincha, Código Postal 100450, Ecuador,
https://orcid.org/0000-0002-7291-5280, dr.humberth@gmail.com

Milagros Escalona Rabaza , Basic Hospital "Asdrúbal de la Torre". General Medicine Service. Cotacachi, Ibarra. Ecuador.

Hospital Básico “Asdrúbal de la Torre”. Servicio de Medicina General. Cotacachi, Código Postal 100301,
Ecuador, https://orcid.org/0000-0002-5782-8525, reneescalona7952@yahoo.com

Dr. Pedro Segundo Proaño Toapanta, General Hospital of Ibarra "San Vicente de Paul". General Surgery Service. Ibarra. Ecuador.

Hospital General “San Vicente de Paul”. Servicio de Cirugía General. Ibarra, Código Postal 100150, Ecuador, https://orcid.org/0000-0002-7846-3991, drpedroproano@hotmail.com

Dr. Segundo Wilfrido Cargua Janeta , Basic Hospital "Antonio Ante". General Surgery Service. Atuntaqui, Ibarra. Ecuador.

Hospital Básico “Antonio Ante”. Servicio de Cirugía General. Atuntaqui, Ibarra, Código Postal 100201, Ecuador, https://orcid.org/0000-0003-4901-3948, drcargua@hotmail.com

Dr. Lucas Garcia Orozco, Basic Hospital "Asdrúbal de la Torre". General Surgery Service. Cotacachi, Ibarra. Ecuador.

Hospital Básico “Asdrúbal de la Torre”. Servicio de Cirugía General. Cotacachi, Ibarra, Código Postal
100301, Ecuador, https://orcid.org/0000-0002-9204-3416, gamilulu7952@gmail.com

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Published

2023-11-23

How to Cite

1.
Gavilanes Saenz VP, Jurado Melo VC, Jines Dávila SE, Castañeda Guamán LH, Escalona Rabaza M, Proaño Toapanta PS, et al. Cryptogenic organized pneumonia in the immediate puerperium. Retrospective analysis of a clinical case. lauinvestiga [Internet]. 2023 Nov. 23 [cited 2024 Jul. 3];9(2):11-8. Available from: http://revistasojs.utn.edu.ec/index.php/lauinvestiga/article/view/588

Issue

Section

Clinical cases

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