Lung adenocarcinoma masquerading as refractory Klebsiella pneumoniae

Loading...
Thumbnail Image
File version
Author(s)
McCartney, C
Moghadam, A
Sriram, KB
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
2014
Size

453571 bytes

File type(s)

application/pdf

Location
License
Abstract

We report the case of a middle-aged man where a diagnosis of Klebsiella pneumoniae obscured the underlying malignancy. The patient was hospitalised for management of a presumed refractory community-acquired pneumonia with radiological features of right lower lobe consolidation. Bronchoscopy did not identify an endobronchial lesion and washings grew K pneumoniae. CT-guided fine-needle aspirate samples did not detect any malignancy. However, despite appropriate antibiotic treatment there was no improvement in the patient’s clinical condition. Consequently, a CT-guided lung core biopsy was performed to obtain more tissue for histopathology, which was diagnostic of primary lung adenocarcinoma. This case highlights the need to continue to investigate a patient who is not progressing as clinically appropriate to their original diagnosis.

Journal Title

BMJ Case Reports

Conference Title
Book Title
Edition
Volume

1

Issue

1

Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement

© The Author(s) 2014. The attached file is reproduced here in accordance with the copyright policy of the publisher. For information about this journal please refer to the journal’s website or contact the authors.

Item Access Status
Note
Access the data
Related item(s)
Subject

Clinical sciences

Persistent link to this record
Citation
Collections