A Case of Pulmonary Tuberculosis with Delayed Diagnosis Due to the Temporary Clinical Improvement After Use of Levofloxacin and Amikacin Under the Impression of Community Acquired Pneumonia. |
Hee Seok Lee, Young Ae Kang, Jin Young Oh, Jae Ho Lee, Chul Gyu Yoo, Choon Taek Lee, Young Whan Kim, Sung Koo Han, Young Soo Shim, Jae Joon Yim |
Division of Respiratory and Critical Care Medicine, Department of Internal Medicine, and Lung Institute, Seoul National University College of Medicine, Korea. yimjj@snu.ac.kr |
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Abstract |
Fluoroquinolone is one of the first-line antibiotics recommended for treating community-acquired pneumonia. However, using fluroquinolones for presumptive community-acquired pneumonia can delay the diagnosis and the treatment of pulmonary tuberculosis because of its strong activity against mycobacteria. Here, we report a case of a 54-year-old female taking immunosuppressants after a renal transplant whose diagnosis of pulmonary tuberculosis was delayed as a result of the use of levofloxacin and amikacin under the original impression of community-acquired pneumonia. This case suggests that clinicians should consider the possibility of pulmonary tuberculosis in the case of a partial response of the pneumonia to flouroquinolones and/or aminoglycosides. |
Key Words:
Levofloxacin, Amikacin, Pulmonary tuberculosis, Pneumonia, Delayed diagnosis |
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