TY - JOUR
T1 - A surprise behind a case of winter vomiting virus
AU - Panopoulou, Aikaterini
AU - Vermaak, Erin
AU - McHugh, Neil
PY - 2013/7/22
Y1 - 2013/7/22
N2 - A 79-year-old man was admitted through the medical take with norovirus gastritis. Routine plain chest radiography demonstrated a right coin lesion. CT and subsequent positron emission tomography showed a right upper lobe mass consistent with primary bronchial carcinoma. The lesion was resected and histology revealed a granulomatous necrotising mass without evidence of dysplasia. Meticulous investigations for infectious and non-infectious causes of necrotising granulomatous diseases were repeatedly negative. His postoperative recovery was complicated by a hospital-acquired pneumonia and a pulmonary embolism. CT pulmonary angiography showed progression of the previously resected mass and repeat biopsy was similar to the initial. A clinical diagnosis of antineutrophil cytoplasmic antibody-negative vasculitis without extrapulmonary manifestations was made and immunosuppressive therapy was initiated with rapid clinical response.
AB - A 79-year-old man was admitted through the medical take with norovirus gastritis. Routine plain chest radiography demonstrated a right coin lesion. CT and subsequent positron emission tomography showed a right upper lobe mass consistent with primary bronchial carcinoma. The lesion was resected and histology revealed a granulomatous necrotising mass without evidence of dysplasia. Meticulous investigations for infectious and non-infectious causes of necrotising granulomatous diseases were repeatedly negative. His postoperative recovery was complicated by a hospital-acquired pneumonia and a pulmonary embolism. CT pulmonary angiography showed progression of the previously resected mass and repeat biopsy was similar to the initial. A clinical diagnosis of antineutrophil cytoplasmic antibody-negative vasculitis without extrapulmonary manifestations was made and immunosuppressive therapy was initiated with rapid clinical response.
UR - http://www.scopus.com/inward/record.url?scp=84883080262&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/record.url?eid=2-s2.0-84883080262&partnerID=8YFLogxK
UR - http://dx.doi.org/10.1136/bcr-2013-010022
U2 - 10.1136/bcr-2013-010022
DO - 10.1136/bcr-2013-010022
M3 - Article
AN - SCOPUS:84883080262
SP - 1
EP - 4
JO - BMJ Case Reports
JF - BMJ Case Reports
SN - 1757-790X
ER -