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A Case of the Week

Case 128

 A seventy-year-old female presented in our hospital for dyspnea. She had various diseases such as diabetes mellitus, hypertension, rheumatoid arthritis, rheumatoid lung and medication-related osteonecrosis of the jaw, thrombophlebitis of the lower extremities and atrial fibrillation. She received home oxygen therapy and steroid therapy for a long term. Her oxygen pressure was 99 mm Hg under oxygen inhalation of 2L/min. Laboratory test revealed white blood cells (WBC) 4870, lymphocytes 15.4%, CRP 22.87 mg/dL β-D glucan 43.6 pg/mL on the admission day and WBC 5790, lymphocytes 14.0 % six days after when she underwent chest CT.

Based on clinical findings and chest CT, what is your diagnosis?

1. Lung cancer

2. Tuberculosis

3. Nontuberculous mycobacteriosis

4. Pulmonary abscess

5. Pulmonary invasive fungus infection


2018.11.7



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