Respir Case Rep. 2020; 9(1): 29-33 | DOI: 10.5505/respircase.2020.35582

Crohn Hastalýðýna Baðlý Organize Pnömoni: Olgu Sunumu

Melike Yüksel Yavuz, Ýbrahim Onur Alýcý, Ceyda Anar, Filiz Güldaval, Melih Büyükþirin
SBÜ. Dr. Suat Seren Göðüs Hastalýklarý ve Göðüs Cerrahisi Eðitim ve Araþtýrma Hastanesi, Göðüs Hastalýklarý Bölümü, Ýzmir.

Ortak embriyojenik köken, otoimmünite, sigara ve kolondan bakteri translokasyonu gibi nedenlerden dolayý akciðer ve baðýrsak hastalýklarý bir arada bulunabilir. Ýnflamatuvar baðýrsak hastalýklarýnda (ÝBH) da Ülseratif kolitli hastalarda, Crohn hastalarýna (CH) göre akciðer tutulumu daha sýk olmaktadýr. Elli üç yaþýndaki kadýn olgumuz, plöretik aðrý, kuru öksürük ve efor dispnesi ile baþvurdu. Antibiyoterapiye yanýt vermeyen pnömonisi olmasý üzerine yapýlan video yardýmlý torakoskopi materyali biyopsi sonucunda organize pnömoni tanýsý aldý. Kortikostreoid tedavisi ile klinik ve radyolojik iyileþme gösteren olgumuz, takibinin 18. ayýnda Crohn hastalýðý tanýsý aldý. ÝBH’de hem hastalýk ile iliþkili hem de kullanýlan ilaç tedavilerine baðlý olarak interstisyel akciðer hastalýklarý görülebilmektedir. Akciðer patolojileri ÝBH tanýsýndan önce de olabilmektedir. Organize pnömoni, CH’da nadir görülmekle beraber bizim hastamýzda olduðu gibi CH tanýsý sonradan da konabilmektedir.

Anahtar Kelimeler: Crohn hastalýðý, inflamatuvar baðýrsak hastalýðý, organize pnömoni,

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Organizing Pneumonia Due To Crohn's Disease: A Case Report

Melike Yüksel Yavuz, Ýbrahim Onur Alýcý, Ceyda Anar, Filiz Güldaval, Melih Büyükþirin
HSU. Dr. Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Department of Chest Diseases, Izmir, Turkey

Lung and intestinal diseases may coexist as a result of their common embryonic origin, autoimmunity, smoking and colon translocation. In patients with inflammatory bowel disease (IBD), pulmonary involvement is more common in patients with ulcerative colitis than in patients with Crohn's disease (CH). A 53-year-old female patient presented with pleuritic pain, dry cough and exertional dyspnea. Antibiotic therapy was initiated, but after the patient did not respond to treatment, a video-assisted thoracoscopy was performed, and a diagnosis of organizing pneumonia was made following the examination of the biopsy material. The radiological and clinical condition of the patient improved with corticosteroid treatment, and a diagnosis of Crohn's disease was made in the 18th month of follow-up. Interstitial lung diseases can be seen in IBD, related either to the disease itself or to the drugs used. Pulmonary pathologies may also occur prior to a diagnosis of IBD. Although organizing pneumonia is rare in CH, as in our patient, a subsequent diagnosis of CH may be made.

Keywords: Crohn's disease, inflammatory bowel disease, organizing pneumonia

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