PMC5505920_01
CT at the previous hospital showed diffuse ground-glass opacity in both lungs and multiple mediastinal lymphadenopathy.
1349-7235-56-1591-g001.jpg
PMC5505920_01_1349-7235-56-1591-g001.jpg
g001
Chest computed tomography (CT) obtained at the hospital showed diffuse ground-glass opacity in both lungs and multiple mediastinal lymphadenopathy (Fig. 1), and empiric antibiotic therapy (SBT/ABPC, MINO) was started.
A chest X-ray and CT obtained on admission revealed consolidation in the left upper lung field, decreased ground-glass opacity in both lungs, and multiple mediastinal lymphadenopathy.
1349-7235-56-1591-g002.jpg
PMC5505920_01_1349-7235-56-1591-g002.jpg
g002
Chest X-ray and CT obtained on admission revealed consolidation in the left upper lung field, ground-glass opacity in both lungs, and multiple mediastinal lymphadenopathy (Fig. 2).
Bone marrow biopsy showed hemophagocytosis (A) and non-caseating granulomatous inflammation without evidence of acid-fast bacilli or lymphoma (B). TBLB also disclosed noncaseating epithelioid granulomatous inflammation without evidence of acid-fast bacilli (C) and show Langhans giant cells (arrow on B and C).
1349-7235-56-1591-g003.jpg
PMC5505920_01_1349-7235-56-1591-g003.jpg
g003
The biopsy showed hemophagocytosis and noncaseating granulomatous inflammation without evidence of acid-fast bacilli or lymphoma. TBLB also disclosed noncaseating epithelioid granulomatous inflammation without evidence of acid-fast bacilli (Fig. 3).