A case of pulmonary tuberculosis presenting as diffuse alveolar haemorrhage: is there a role for anticardiolipin antibodies?

Background Diffuse alveolar haemorrhage (DAH) has been rarely reported in association with pulmonary infections. Case Presentation We report the case of a 43 year old immunocompetent man presenting with dyspnoea, fever and haemoptysis. Chest imaging showed bilateral ground glass opacities. Microbiological and molecular tests were positive for Mycobacterium tuberculosis and treatment with isoniazid, rifampicin, ethambutol and pyrazinamide was successful. In this case the diagnosis of DAH relies on clinical, radiological and endoscopic findings. Routine blood tests documented the presence of anticardiolipin antibodies. In the reported case the diagnostic criteria of antiphospholipid syndrome were not fulfilled. Conclusions The transient presence of anticardiolipin antibodies in association with an unusual clinical presentation of pulmonary tuberculosis is intriguing although a causal relationship cannot be established..

Medienart:

E-Artikel

Erscheinungsjahr:

2010

Erschienen:

2010

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

BMC infectious diseases - 10(2010), 1 vom: 20. Feb.

Sprache:

Englisch

Beteiligte Personen:

Marruchella, Almerico [VerfasserIn]
Corpolongo, Angela [VerfasserIn]
Tommasi, Chiara [VerfasserIn]
Lauria, Francesco N [VerfasserIn]
Narciso, Pasquale [VerfasserIn]

Links:

Volltext [kostenfrei]

Themen:

Anticardiolipin Antibody
Ground Glass Opacity
Leptospirosis
Pulmonary Tuberculosis
Pyrazinamide

Anmerkungen:

© Marruchella et al; licensee BioMed Central Ltd. 2010

doi:

10.1186/1471-2334-10-33

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2100110934