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High-severity community-acquired pneumonia — SCE Respiratory MCQ

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HardRespiratory InfectionsHigh-severity community-acquired pneumoniaSCE Respiratory

A patient has subacute cough, fever and migratory peripheral consolidations. Infection testing is negative and biopsy shows intra-alveolar fibroblastic plugs. What is the diagnosis?

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Correct answer: DOrganising pneumonia

Migratory peripheral consolidation and Masson bodies indicate organising pneumonia, which may be cryptogenic or secondary to drugs, connective-tissue disease, infection or malignancy. Secondary causes must be sought before labelling it cryptogenic.

Reference: BTS Interstitial Lung Disease resources. https://www.brit-thoracic.org.uk/clinical-resources/interstitial-lung-disease/