Wandering consolidation.

نویسندگان

  • M A Keane
  • D M Hansell
  • C R Hind
چکیده

Accepted 3 May 1995 A 63-year-old man who had previously been fit and well, developed an acute illness with headaches and fever. His chest X-ray is shown in figure 1. Other investigations revealed an elevated lactate dehydrogenase and gamma glutamyl transferase and transient microscopic haematuria for which no cause was found. Following antibiotic treatment, his symptoms settled. Over the next six weeks he complained of increasing breathlessness but had no other symptoms. His family doctor found signs of left lower lobe consolidation and treated him with antibiotics, but there was no symptomatic improvement and he was referred to hospital. It was noted that he had travelled to Canada, Fiji, Australia, and Singapore a year previously. On examination he appeared unwell and he had signs of left-sided consolidation. He was in atrial fibrillation and was normotensive. Routine blood tests were normal other than an erythrocyte sedimentation rate of 75 mm/h. His repeat chest X-ray is shown in figure 2.

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عنوان ژورنال:
  • Postgraduate medical journal

دوره 71 841  شماره 

صفحات  -

تاریخ انتشار 1995