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Case Reports
. 2009 Feb;44(2):195-7.
doi: 10.1002/ppul.20959.

Distinguishing Wegener's granulomatosis from necrotizing community acquired pneumonia: A case report and comparison of radiographic findings

Steven J Spalding  1 , Marnie Cambria, Thaschawee Arkachaisri
Affiliations
Case Reports

Distinguishing Wegener's granulomatosis from necrotizing community acquired pneumonia: A case report and comparison of radiographic findings

Steven J Spalding et al. Pediatr Pulmonol. 2009 Feb.

Abstract

Wegener's granulomatosis (WG) is a necrotizing granulomatous vasculitis, affecting medium to small vessels in the respiratory and renal vasculature. Patients with WG may present with clinical and radiographic features similar to community-acquired pneumonia (CAP), which may delay life-saving immunosuppressive therapy. We report a 14-year-old female originally diagnosed with recalcitrant, necrotizing CAP complicated by massive pulmonary cavitations eventually proven to be WG. We also compare the radiographic features of WG and necrotizing CAP.

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Figures

Fig. 1
Fig. 1
Massive cavitary lesion in Wegener’s granulomatosis. High-resolution chest CT demonstrates large cavitary lesion (C) in left upper volume. Parenchymal and classic subpleural nodules (N) are evident throughout the right lung.
See this image and copyright information in PMC

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