Seventy-five-year-old woman with month-long fever, cavity lung lesions and cutaneous ulcer

• Published in: Emergency medicine journal : EMJ Vol. 41; no. 3; pp. 150 - 198
• Main Authors: Wu, Chang-Han, Chen, Chi-Wei
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine 01.03.2024; BMJ Publishing Group LTD
• Subjects: Cavitation; dermatology; diagnosis; Diagnosis, Differential; emergency department; Female; Fever - etiology; Humans; Image challenge; imaging; Lung; Lymphoma; Medical diagnosis; Tuberculosis; Ulcer; Ulcers; Taiwan; diagnosis; dermatology; emergency department; imaging
• ISSN: 1472-0205; 1472-0213
• DOI: 10.1136/emermed-2023-213194

Correspondence to Dr Chang-Han Wu, Emergency Department, Kaohsiung Medical University Chung Ho Memorial Hospital, Kaohsiung, No.100, Tzyou 1st Rd., Sanmin Dist., Kaohsiung City 80756, Taiwan (R.O.C.), Taiwan; i54016296@gmail.com Clinical Introduction An elderly Asian woman presented to the ED with month-long fever, rhinorrhea and productive cough. In Asian populations, pulmonary cavitary disease is commonly associated with tuberculosis infection.2 However, disseminated tuberculosis with cutaneous involvement typically presents as hyperkeratosis and granulomatosis,3 which is not consistent with the image in our case. [...]GPA is the preferred option. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.