An unusual non-resolving community-acquired pneumonia

Auteurs-es

  • Andrea Zappalà Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina
  • Silvia Puglisi Pneumologia, Dipartimento Malattie dell’Apparato Respiratorio e del torace, Ospedale Morgagni-Pierantoni, Forlì
  • Ilaria Di Cataldo Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina
  • Alessio Trombetta Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina
  • Alessio Trombetta Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina
  • Federica Lo Bello Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina
  • Alfio Proietto Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina
  • Irene Coppolino Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina
  • Venerino Poletti Pneumologia, Dipartimento Malattie dell’Apparato Respiratorio e del torace, Ospedale Morgagni-Pierantoni, Forlì
  • Gaetano Caramori Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina

DOI :

https://doi.org/10.13129/1828-6550/APMB.109.2.2021.CCS1

Mots-clés :

non-resolving pneumonia, autoimmune pneumonia, organizing pneumonia, systemic lupus erythematosus, acute lupic pneumonitis.

Résumé

We present the case of a 61-year-old male that was admitted to our Unit of Pulmonology for a suspected community-acquired pneumonia (CAP) with acute hypoxemic respiratory failure. However, despite many courses of empiric wide spectrum antibiotic treatment, the respiratory failure persisted and new bilateral migratory pulmonary opacities and serosal effusions appeared. The most common causes of non-resolving CAP were excluded and the combination of thrombocytopenia, autoimmune hemolysis, pleural and pericardial effusions in a patient with antinuclear antibodies ANA at a titer of 1:160 is diagnostic for systemic lupus erythematosus (SLE)

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Publié

2021-08-26

Numéro

Vol. 109 No. 2 (2021)

Rubrique

CLINICAL CASE SEMINAR

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