A Case of Tuberculous Pneumonitis With Continuous High Spiking Fever.

Lee, Hee Seung; Ryu, Jung Cheol; Park, Tae Koon; Park, Tae Joon; Yang, Eun Soo; Choi, Soo Jeon; Kwak, Young Tace; Cha, Bong Su; Kim, Se Kyu

doi:1994.41.3.299

Tuberc Respir Dis > Volume 41(3); 1994 > Article

Case Report

Tuberculosis and Respiratory Diseases 1994;41(3):299-302.
DOI: https://doi.org/10.4046/trd.1994.41.3.299 Published online June 1, 1994.

A Case of Tuberculous Pneumonitis With Continuous High Spiking Fever.

Hee Seung Lee, Jung Cheol Ryu, Tae Koon Park, Tae Joon Park, Eun Soo Yang, Soo Jeon Choi, Young Tace Kwak, Bong Su Cha, Se Kyu Kim

Abstract

A 33-year old male was admitted due to continuous high spiking fever for 2 months via local clinic. He had been diagnosed pulmonary tuberculosis at local clinic. However, spiking fever had not been controlled by anti-tuberculous medications. Chest PA showed confluent consolidation on right upper & mid-lung field. 5 anti-tuberculous regimens (Streptomycin, Isoniazid, Rifampin, Ethambutol, Pyrazinamaide) were administered initially and steroid therapy was followed for relieving toxic symptoms Very slowly resolved chest X-ray lesion and continuous fever suggested the possibility of misdiagnosis. After 60th hospital day, the chest X-ray lesion was resolved gradually and fever subsided almost completely. He was discharged on 76th hospital day with anti-tuberculous drugs and steroid(prednisolon), without any other problems except sustained mild fever.

Key Words: Tuberculous pneumonitis, Spiking fever, Steroid