Difficulties in the differential diagnosis of pneumonia complicated by an abscess and a limited variant of Wegener's granulomatosis

The article presents a clinical case that confirms the importance of careful collection and analysis of medical history and active identification of pathology of the upper respiratory tract, middle ear and eyes typical of the debut of Wegener's granulomatosis. It demonstrates the need for early...

Full description

Bibliographic Details
Main Authors: M. D. Romanov, T. M. Levina
Format: Article
Language:Russian
Published: NEW TERRA Publishing House 2019-10-01
Series:Tuberkulez i Bolezni Lëgkih
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/1337
Description
Summary:The article presents a clinical case that confirms the importance of careful collection and analysis of medical history and active identification of pathology of the upper respiratory tract, middle ear and eyes typical of the debut of Wegener's granulomatosis. It demonstrates the need for early testing of level of antibodies to the neutrophil cytoplasm in the blood serum (ANCA) and biopsy in the target organs giving the preference to less invasive transnasal biopsy. The positive results of early comprehensive immunosuppressive ex juvantibus therapy confirm the diagnosis of Wegener's granulomatosis.
ISSN:2075-1230
2542-1506