Pneumonia in bone marrow transplant patients.

Published

Journal Article

The radiographic, pathologic, and clinical features of 22 episodes of pneumonia in 18 bone marrow transplant recipients were analyzed retrospectively. These pneumonias could be divided into three diagnostic categories: (1) a transient form of nonspecific interstitial pneumonia resembling pulmonary edema in radiographic appearance occurred in five patients during the first 2 weeks after transplantation; (2) a fatal, progressive form of interstitial pneumonia began from 2 weeks to several months after bone marrow transplantation in seven patients; and (3) airspace pneumonias occurred in nine patients within 2 months of transplantation and were uniformly fatal. While the temporal and radiographic presentation of transient early interstitial pneumonia is often characteristic and may not require biopsy for diagnosis, the airspace and progressive interstitial pneumonias affecting bone marrow transplant recipients present variable patterns that are often radiographically indistinguishable. The direct pulmonary toxicity of high-dose total-body irradiation and chemotherapy may be contributory in producing both the early transient and later progressive forms of nonspecific interstitial pneumonia.

Full Text

Duke Authors

Cited Authors

  • Wise, RH; Shin, MS; Gockerman, JP; Zornes, SL; Rubin, E; Nath, PH

Published Date

  • October 1, 1984

Published In

Volume / Issue

  • 143 / 4

Start / End Page

  • 707 - 714

PubMed ID

  • 6382979

Pubmed Central ID

  • 6382979

International Standard Serial Number (ISSN)

  • 0361-803X

Digital Object Identifier (DOI)

  • 10.2214/ajr.143.4.707

Language

  • eng

Conference Location

  • United States