Abstract
An adult case of organizing pneumonia with increasing parainfluenza virus antibody titer is reported. A 69-year-old man was admitted to this hospital because of bilateral pulmonary infiltrates involving the upper right and upper left lobes. PAPM and EM were administered intravenously. Sputum cultures yielded a normal respiratory flora. Bronchoscopic examination, including bacteriologic and cytologic examination of bronchoalveolar washings, was negative. Organizing pneumonia demonstrating organization not containing fibrin was diagnosed by transbronchial, lung biopsy (TBLB). Steroid pulse therapy was very effective in this case. The abnormal shadows in the chest X-rays disappeared. The antibody titer against the type 2 parainfluenza virus was increased. It seems that parainfluenza virus infection may cause some organizing pneumonia among adults.
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