Autor: |
Nobuyuki, Sato, H, Tsubochi, K, Kishimoto, T, Imai, M, Kaimori |
Rok vydání: |
2007 |
Předmět: |
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Zdroj: |
Kyobu geka. The Japanese journal of thoracic surgery. 60(7) |
ISSN: |
0021-5252 |
Popis: |
A 54-year-old man, who was suspected to suffer from multi-drug resistant lung abcess, was admitted to our hospital. Chest computed tomography (CT) scan showed large cavitary mass in right S6 and nodules in left S1+2 and S10. No abnormal findings were detected without raised immunoglobulin E (IgE) and C-reactive protein (CRP). Anti-neutrophil cytoplasmic antibody (ANCA) was repeatedly negative. We couldn't make a diagnosis by percutaneous biopsy. Finally we performed open lung biopsy of left lung, and Wegener's granulomatosis was diagnosed at last He improved immediately after treatment with prednisolone, cyclophosphamide and sulfamethoxazole-trimethoprim. ANCA-negative Wegener's granulomatosis should be considered when we diagnose multiple pulmonary nodules. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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