PMC4153165_01
Two fine scars on the sole
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Other his physical examinations revealed no abnormality, except for fine scars of healed abrasions related to walking on a beach on his first day in Thailand (Figure 1).
Initial chest X-ray revealed right upper lobe alveolar infiltration.
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Chest X-ray (CXR) was obtained (Figure 2). Based on roentgenographic findings (Figures 2 and 3), ceftriaxone and azithromycin were initiated.
Computed tomography showed lobar infiltration in right upper lobe.
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Based on roentgenographic findings (Figures 2 and 3), ceftriaxone and azithromycin were initiated.
Portable chest X-ray on the second day revealed increased infiltration.
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New portable CXR and CT scan revealed more diffuse and extensive alveolar infiltrations (Figures 4 and 5).
Chest CT-scan on admission in intensive care unit revealed increased alveolar infiltration and bilateral pleural effusion.
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New portable CXR and CT scan revealed more diffuse and extensive alveolar infiltrations (Figures 4 and 5).
Chest computed tomography 2 months after admission showed ground glass opacities
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TMP-SMX continued for about 3 months. The control lung CT scan after one month demonstrated significant improvement (Figure 6).