Tuberc Respir Dis.  1994 Jun;41(3):299-302. 10.4046/trd.1994.41.3.299.

A Case of Tuberculous Pneumonitis With Continuous High Spiking Fever

• Lee HS
• Ryu JC
• Park TK
• Park TJ
• Yang ES
• Choi SJ
• Kwak YT
• Cha BS
• Kim SK

• KMID: 2160358
• DOI: http://doi.org/10.4046/trd.1994.41.3.299

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.

Keyword

Tuberculous pneumonitis; Spiking fever; Steroid

MeSH Terms

Diagnostic Errors
Ethambutol
Fever*
Humans
Isoniazid
Male
Pneumonia*
Rifampin
Thorax
Tuberculosis, Pulmonary
Ethambutol
Isoniazid
Rifampin