[Fever, dyspnea].
A 52-year-old female complained about non-distinct symptoms such as fatigue, night sweats and bone pain. Because of a febrile bronchitis, chest X-ray was performed, which disclosed enlarged hilar nodes and intestinal and acinar pulmonary infiltrates. Endobronchial biopsy and cultures from bronchial aspirate permitted to diagnose infection by legionella concomitant with sarcoidosis. After antibiotic treatment for legionellosis over four weeks, immunosuppressive therapy for sarcoidosis was initiated with glucocorticoids.
von Eiff
M
M
Medizinische Universitätsklinik Münster, BRD.
Baumgart
P
P
Walger
P
P
Prahl
K
K
Spieker
C
C
D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D005260:Female; D005334:Fever / Q000209:etiology*; D006801:Humans; D007877:Legionnaires' Disease / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged; D011014:Pneumonia / Q000175:diagnosis; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis*
Fieber, Atemnot.