Fever and an abnormal chest X-ray during the COVID-19 pandemic

During the COVID-19 pandemic, a 56-year-old man presented at our emergency department with fever and shortness of breath; Diffuse pulmonary nodular vascular spread lesions were found. Detailed history taking showed a four-week history of fever and night sweats. The man had been under treatment for 2...

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Detalles Bibliográficos
Autores principales: Ruttens, David, Van Kerrebroeck, Margaretha, Vandewalle, Jan, Falter, Maarten, Daenen, Marc, Thevissen, Kristof, Wirix, Mieke, Thomeer, Michiel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7392070/
https://www.ncbi.nlm.nih.gov/pubmed/32789106
http://dx.doi.org/10.1016/j.rmcr.2020.101167
Descripción
Sumario:During the COVID-19 pandemic, a 56-year-old man presented at our emergency department with fever and shortness of breath; Diffuse pulmonary nodular vascular spread lesions were found. Detailed history taking showed a four-week history of fever and night sweats. The man had been under treatment for 2 years with Adalimumab, a tumor-necrosis-factor (TNF) inhibitor, for ulcerative colitis. Before start, screening by tuberculin skin test was negative. Cultures en PCR on BAL and urine were positive for mycobacterium tuberculosis also ocular findings were present. The diagnosis of military tuberculosis was made.

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