Signo del halo invertido como manifestación inhabitual de neumonía organizada criptogénica. Reporte de un caso

We report a 64 years old female admitted with fever, cough, dyspnea and lung opacities in the chest X ray. A chest tomography scan (CTS) showed multiple-bilateral ring-shaped opacities and the reversed halo sign (RHS). The patient did not improve with antimicrobial therapy (AT). Infection and rheumatologic causes were excluded, therefore Cryptogenic organizing pneumonia (COP) was suspected with compatible percutaneous biopsy. Systemic steroids were started with a good clinical response. The patient was discharged four weeks after admission in good general conditions and practically no lungs opacities.

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Bibliographic Details
Main Authors: Schiappacasse,Giancarlo, Acevedo,Arturo, Martínez,René, Escobar,Jorge, Hernández,Antonio, Pires,Yumay
Format: Digital revista
Language:Spanish / Castilian
Published: Sociedad Médica de Santiago 2019
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000500663
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Description
Summary:We report a 64 years old female admitted with fever, cough, dyspnea and lung opacities in the chest X ray. A chest tomography scan (CTS) showed multiple-bilateral ring-shaped opacities and the reversed halo sign (RHS). The patient did not improve with antimicrobial therapy (AT). Infection and rheumatologic causes were excluded, therefore Cryptogenic organizing pneumonia (COP) was suspected with compatible percutaneous biopsy. Systemic steroids were started with a good clinical response. The patient was discharged four weeks after admission in good general conditions and practically no lungs opacities.