Scrub typhus pneumonitis with delayed resolution.
A 35-year-old lady was admitted to hospital with fever and dry cough. Chest radiograph showed bilateral basal infiltrate. Her Weil-Felix test was strongly positive (OX-K > 1:160) and her fever came down with intravenous tetracycline. There was no improvement in the lung shadow and spirometry showed a severe restrictive defect. Open lung biopsy confirmed the diagnosis of interstitial pneumonitis. CT of thorax 6 months after presentation showed partial resolution of the interstitial shadow.
Chan
C H
CH
Department of Medicine, Chinese University, Hong Kong, Prince of Wales Hospital, Shatin, NT.
Lai
F
F
Daly
B
B
Ho
A K
AK
Yu
C M
CM
Cheng
A
A
D000328:Adult; D001706:Biopsy; D005260:Female; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D012612:Scrub Typhus / Q000150:complications*; D013147:Spirometry; D013752:Tetracycline / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D013752:Tetracycline