Bronchiolitis Obliterans with Organizing Pneumonia in AIDS

Abstract

To the Editor: We report the case of a patient with AIDS who had bronchiolitis obliterans with organizing pneumonia. Although this situation is recognized in other settings, physicians should be aware of the possibility in patients with AIDS.1,2 A 30-year-old man with human immunodeficiency virus infection was admitted to the hospital with cough, fever, and pulmonary infiltrates. He was treated with erythromycin and trimethoprim–sulfamethoxazole, but hypoxic respiratory failure developed. A chest film (Figure 1) showed bilateral diffuse alveolar infiltrates compatible with bacterial pneumonia, Pneumocystis carinii pneumonia, tuberculosis, or heart failure. The patient's CD4 count was 77 per cubic.  . . © 1995, Massachusetts Medical Society. All rights reserved.