Q fever presenting as miliary pneumonia: Case imagery and differential diagnosis
Abstract
Abstract: Case/imagery description: A 56-year-old immunocompetent male consulted for one
month of relapsing fever, moderate dyspnea, non-productive cough, headaches, and myalgias. Past
medical history was unremarkable except for exposure to a variety of livestock carcasses. A
computed tomographic scan revealed innumerable randomly distributed 1-3mm micronodules.
Initial diagnostic workup including bronchoalveolar lavage (BAL) was inconclusive.
STUDY QUESTIONS: Is this miliary pneumonia? What diagnosis must initially be considered?
In this specific case with negative BAL analysis/cultures, what would your differential diagnosis
be? Is Q fever a possibility?
Collection
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