[Multiple pulmonary nodules with cavity formation].
Zhonghua Jie He He Hu Xi Za Zhi
; 47(3): 214-221, 2024 Mar 12.
Article
em Zh
| MEDLINE
| ID: mdl-38448170
ABSTRACT
A 64-year-old female patient was admitted to Beijing Chao-Yang Hospital on February 21, 2023 because of right-sided chest pain for more than 4 years and left-sided chest pain for more than 9 months. She had a past medical history of previous tuberculosis and rheumatoid arthritis. A chest CT in October 2018 revealed multiple pulmonary nodules. A CT-guided biopsy showed no tumors, and adenosine deaminase levels in the pleural effusion were elevated, suggesting a high likelihood of tuberculosis. As a result, anti-tuberculosis treatment was initiated in March 2019. In December 2019, she underwent a right lower lobe resection due to localized hydropneumothorax on the right side. Postoperative pathology unveiled granulomatous inflammation with necrosis. A chest CT in May 2020 showed a significant increase in nodules and cavities. In January 2023, a diagnosis of cryptococcal pneumonia was considered, and she was prescribed oral fluconazole. Finally, the diagnosis of pulmonary rheumatoid nodules was confirmed after a pathological consultation of the postoperative specimen. After one month of treatment with oral prednisone and mycophenolate mofetil, a follow-up chest CT showed improvement. It was recommended that she continue with her current treatment and undergo regular chest CT scans.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tuberculose
/
Criptococose
/
Nódulos Pulmonares Múltiplos
Idioma:
Zh
Ano de publicação:
2024
Tipo de documento:
Article