Open AccessMULTIPLE CAVITARY LUNG LESIONS WITH AIR-FLUID LEVEL – CLINICAL DIAGNOSIS TRAPS – CASES PRESENTATION
Author(s) -
Simona-Stefania Dobre,
Simin-Aysen Florescu,
Petre Iacob Calistru,
Maria Nica,
Alma Kosa
Publication year - 2017
Publication title -
romanian journal of infectious diseases
Language(s) - English
Resource type - Journals
eISSN - 2069-6051
pISSN - 1454-3389
DOI - 10.37897/rjid.2017.2.5
Subject(s) - medicine , lung abscess , lung , tuberculosis , differential diagnosis , etiology , sarcoidosis , pneumonia , radiology , lung cancer , pneumoconiosis , pulmonary infarction , pathology , lobar pneumonia
Cavitary lung lesions may pose complex problems in terms of differential diagnosis as their etiological spectrum includes: – Necrotizing infections (pneumonia, pulmonary tuberculosis, fungi and parasites abscesses) – Non-infectious diseases: (lung cancer with necrosis, infected cavitating pulmonary infarction, vasculitides, collagenoses with lung cavity by immunological mechanism, the suction of a foreign body intrabronchially, congenital lung malformations, pneumoconiosis excavated etc). We present three clinical cases with similar radiological images or multiple formations lung cavity fluid level but with different diagnoses and etiologies: Staphylococcus aureus strain MRSA sepsis, echinococcosis with multiple sites and pulmonary tuberculosis secondary caseous-cavitary form. Selected all three cases, standard chest radiography was the basic investigation lung disease diagnosis, but accurate diagnosis requires performing other investigative methods.