Pneumothorax complicating fatal bronchiolitis obliterans organizing pneumonia

Respiration. 1999;66(3):266-8. doi: 10.1159/000029371.


Bronchiolitis obliterans organizing pneumonia (BOOP) is an uncommon pulmonary disorder, the clinical spectrum of which is variable. We present a fatal case of BOOP, which developed spontaneous pneumothorax, a complication considered rare. Unusual was also the upper lobe distribution of the infiltrates. The histologically diagnosed disease failed to respond to antibiotics and corticosteroids and the 74-year-old patient eventually succumbed with acute respiratory distress syndrome, 50 days after disease onset. Spontaneous pneumothorax should be added to the complications of BOOP, which may adversely affect prognosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cryptogenic Organizing Pneumonia / complications*
  • Cryptogenic Organizing Pneumonia / diagnostic imaging
  • Cryptogenic Organizing Pneumonia / microbiology
  • Fatal Outcome
  • Humans
  • Legionella pneumophila / isolation & purification
  • Pneumothorax / diagnostic imaging
  • Pneumothorax / etiology*
  • Radiography, Thoracic
  • Tomography, X-Ray Computed