A Case of Tuberculous Pneumonitis With Continuous High Spiking Fever.
10.4046/trd.1994.41.3.299
- Author:
Hee Seung LEE
;
Jung Cheol RYU
;
Tae Koon PARK
;
Tae Joon PARK
;
Eun Soo YANG
;
Soo Jeon CHOI
;
Young Tace KWAK
;
Bong Su CHA
;
Se Kyu KIM
- Publication Type:Case Report
- Keywords:
Tuberculous pneumonitis;
Spiking fever;
Steroid
- MeSH:
Diagnostic Errors;
Ethambutol;
Fever*;
Humans;
Isoniazid;
Male;
Pneumonia*;
Rifampin;
Thorax;
Tuberculosis, Pulmonary
- From:Tuberculosis and Respiratory Diseases
1994;41(3):299-302
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 33-year old male was admitted due to continuous high spiking fever for 2 months via local clinic. He had been diagnosed pulmonary tuberculosis at local clinic. However, spiking fever had not been controlled by anti-tuberculous medications. Chest PA showed confluent consolidation on right upper & mid-lung field. 5 anti-tuberculous regimens (Streptomycin, Isoniazid, Rifampin, Ethambutol, Pyrazinamaide) were administered initially and steroid therapy was followed for relieving toxic symptoms Very slowly resolved chest X-ray lesion and continuous fever suggested the possibility of misdiagnosis. After 60th hospital day, the chest X-ray lesion was resolved gradually and fever subsided almost completely. He was discharged on 76th hospital day with anti-tuberculous drugs and steroid(prednisolon), without any other problems except sustained mild fever.
