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Updated: Aug 13, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
[BOOP--a rare diagnosis in clinical practice]
C Didilescu1, C Marica, Veronica Siteavu
1Institutul de Pneumologie "Marius Nasta", Bucureşti.
Idiopathic pulmonary fibrosis was initially diagnosed, but treatment failed. A lung biopsy revealed bronchiolitis obliterans with organizing pneumonia (BOOP) as the correct diagnosis.
Area of Science:
- Pulmonology
- Pathology
Background:
- Idiopathic pulmonary fibrosis (IPF) is a progressive interstitial lung disease with a poor prognosis.
- Current treatments for IPF, including corticosteroids and immunosuppressants, often yield limited efficacy.
Observation:
- A patient presented with clinical and functional decline despite undergoing treatment for presumed IPF.
- The patient's condition worsened under standard corticosteroid and immunosuppressive therapy.
Findings:
- A definitive diagnosis was established through lung biopsy.
- The biopsy revealed the presence of bronchiolitis obliterans with organizing pneumonia (BOOP), not IPF.
Implications:
- This case highlights the importance of histopathological confirmation in diagnosing interstitial lung diseases.
- Misdiagnosis of IPF can lead to delayed or inappropriate treatment, underscoring the need for accurate diagnostic procedures.
- BOOP may present with clinical features mimicking IPF, necessitating careful diagnostic evaluation.
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