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Peculiar form of rapidly progressive pneumonia in healthy man

Published:December 25, 2022DOI:https://doi.org/10.1016/j.ejim.2022.12.013
      A healthy 53–years-old male presented to ED with fever and arthralgia for two days. On admission the patient was alert, oriented, febrile; thoracic exam revealed crackles in left basal area. Blood exams showed lymphocytopenia (490/mmc), thrombocytopenia, increased C-reactive protein (263 mg/l) with procalcitonin 0.37 ng/ml; chest CT scan revealed multifocal pneumonia (Fig.1a). Blood cultures and urinary antigen test for Legionella were performed, the last was negative. Empiric therapy with piperacillin-tazobactam and levofloxacin was started.
      Fig 1
      Fig. 1a: chest CT scan revealing multifocal lesions. b: chest CT scan one day later showing worsening and tendency of cavitation
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