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Chest x-ray on admission to ICU, showing right consolidation and pleural effusion.
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Chest radiography (CXR) showed right pleural effusion and consolidation (Figure 1).
Chest x-ray three weeks after presentation, showing persistent right lower lobe consolidation.
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However, he continued to have a right lower lobe consolidation (Figures 2a and 2b) despite appropriate antimicrobial therapy, including acyclovir.
Chest CT scan, three weeks after presentation, showing persistent right lower lobe consolidation.
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He was restarted on intravenous hydrocortisone and showed a remarkable response with significant improvement in respiratory symptoms and radiographic findings (Figure 3).