Chlamydial infection showing migratory pulmonary infiltrates.
A 70-year old man was admitted to our hospital because of nonproductive cough, fever and increasing dyspnea associated with alveolar opacities on chest roentgenogram, which later migrated to previously unaffected areas. The diagnosis of Chlamydial pneumonitis was made on serological grounds. Organizing pneumonia was documented by transbronchial lung biopsies and the subsequent course was satisfactory under minocycline therapy. Chlamydial infection should be considered in the differential diagnosis of migratory pulmonary infiltrates.
Imokawa
Shiro
S
Department of Respiratory Medicine, Iwata City Hospital, Iwata. fmrcw925@ybb.ne.jp
Yasuda
Kazumasa
K
Uchiyama
Hiroshi
H
Sagisaka
Shinya
S
Harada
Masanori
M
Mori
Kazutaka
K
Kitazawa
Hiroshi
H
Suda
Takafumi
T
Chida
Kingo
K
D000368:Aged; D016993:Chlamydophila pneumoniae; D018549:Cryptogenic Organizing Pneumonia / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D018410:Pneumonia, Bacterial / Q000000981:diagnostic imaging* / Q000473:pathology; D011859:Radiography