An unusual case of fatal pulmonary allograft rejection

This case report describes an atypical form of acute pulmonary allograft re jection that was refractory to conventional therapy. The rejection manifest ed primarily as interstitial lymphocytic infiltrates with little perivascul ar involvement. Despite aggressive therapy the patient died within 7 months of transplant. The timely recognition and treatment of unusual forms of al lograft rejection is vital in the management of pulmonary transplant patien ts.