case_images: PMC2958626_01
case_images: Postero anterior radiograph of the chest obtained after tracheal intubation on day 1.
case_images: CCRP2010-408365.001.jpg
case_images: PMC2958626_01_CCRP2010-408365.001.jpg
case_images: fig1
case_images: Admission chest X-ray showed diffuse bilateral infiltrates (Figure 1).
case_images: (a) CT scan of the chest obtained on day 1 showing diffuse alveolar infiltrate. (b) CT scan of the chest obtained on day 8: right ground glas opacities and atelectasis of the left lower lobe.
case_images: CCRP2010-408365.002.jpg
case_images: PMC2958626_01_CCRP2010-408365.002.jpg
case_images: fig2
case_images: A CT scan of the chest on day 1 demonstrated diffuse alveolar infiltrates more pronounced in the lower lobes (Figure 2(a)). Another CT scan of the chest performed on day 8 showed a marked regression of alveolar infiltrates but the presence of ground-glass opacities (Figure 2(b)).
case_images: PaO2/FiO2 ratio during invasive ventilation.
case_images: CCRP2010-408365.003.jpg
case_images: PMC2958626_01_CCRP2010-408365.003.jpg
case_images: fig3
case_images: An open-lung biopsy was performed on day 9 due to persistent hypoxemia despite protective ventilation (Figure 3).
case_images: Bedside open lung biopsy performed on day 9 (HES x 200): lesions of bronchiolitis obliterans with organizing fibroblastic polyps in alveoli.
case_images: CCRP2010-408365.004.jpg
case_images: PMC2958626_01_CCRP2010-408365.004.jpg
case_images: fig4
case_images: Pathological analysis pointed out typical lesions of bronchiolitis obliterans with organizing fibroblastic polyps in bronchioles, alveolar ducts and alveoli but without inflammatory cells (Figure 4).