[Case of Wegener granuloma]

Abstract

A case is presented of Wegener granuloma with lesion in the maxillary sinus, orbit, eye, lungs, kidneys and on the skin, observed in the Department of Infectious Diseases. The diagnosis was made after seven months of the disease, on the basis of clinical picture and histological examination. The applied treatment with cyclophosphamide and steroids led to regression of most symptoms. The permanent consequence was left eye amblyopia of significant degree. During 3.5 years of follow-up three recurrencies of the disease were observed which were associated with attempts at dose reduction of the drugs used. Presently, the patient is in a remission lasting 22 months. Five months passed as yet from the completion of the treatment. In view of the possibility of disease recurrence, the patient remains in further follow-up of the department.