title: Scrub typhus pneumonitis with delayed resolution.
abstract: 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.
authors.affiliation: Department of Medicine, Chinese University, Hong Kong, Prince of Wales Hospital, Shatin, NT.
authors.forename: C H
authors.initials: CH
authors.lastname: Chan
authors.forename: F
authors.initials: F
authors.lastname: Lai
authors.forename: B
authors.initials: B
authors.lastname: Daly
authors.forename: A K
authors.initials: AK
authors.lastname: Ho
authors.forename: C M
authors.initials: CM
authors.lastname: Yu
authors.forename: A
authors.initials: A
authors.lastname: Cheng
mesh_terms: 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
chemical_list: D013752:Tetracycline