Case 20

John Stradling, Andrew Stanton, Najib Rahman, Annabel Nickol and Helen Davies

in Oxford Case Histories in Respiratory Medicine

Published on behalf of Oxford University Press

Published in print July 2010 | ISBN: 9780199556373
Published online November 2012 | e-ISBN: 9780191753299 | DOI:

Series: Oxford Case Histories

Case 20

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A 58-year-old man was referred with a fever up to 38˚C associated with hepatitis, persisting despite several antibiotic courses. Investigations showed modestly elevated inflammatory markers (CRP, 75mg/L), a CXR showed pulmonary infiltrates, several sets of blood cultures, viral hepatitic screens and a myeloma screen were negative. Bronchoscopy was non-diagnostic. A liver biopsy showed caseating granulomas. His previous medical history included hypertension, prostatism and superficial transitional cell carcinoma of the bladder, treated with intravesical BCG (bacillus Calmette-Guérin) 8 months previously.

Chapter.  957 words. 

Subjects: Respiratory Medicine and Pulmonology

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