Dyspnea and weight loss in a 70-year-old man

A 70-year-old man presented with subacute dyspnea, cough, weight loss, and mild fever. Blood analysis revealed an elevated C-reactive protein level. Chest x-ray and CT of the chest showed alveolar opacities with a migratory tendency during the clinical course. After extensive diagnostics, treatment...

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Bibliographic Details
Published inDer Internist (Berlin) Vol. 54; no. 7; p. 880
Main Authors Vangala, D B, Schmiegel, W, Pox, C P
Format Journal Article
LanguageGerman
Published Germany 01.07.2013
Subjects
Aged
Anti-Inflammatory Agents - therapeutic use
Cryptogenic Organizing Pneumonia - complications
Cryptogenic Organizing Pneumonia - diagnosis
Cryptogenic Organizing Pneumonia - drug therapy
Diagnosis, Differential
Dyspnea - diagnosis
Dyspnea - etiology
Dyspnea - prevention & control
Fever of Unknown Origin - diagnosis
Fever of Unknown Origin - etiology
Fever of Unknown Origin - prevention & control
Humans
Male
Prednisolone - therapeutic use
Treatment Outcome
Weight Loss
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Summary:A 70-year-old man presented with subacute dyspnea, cough, weight loss, and mild fever. Blood analysis revealed an elevated C-reactive protein level. Chest x-ray and CT of the chest showed alveolar opacities with a migratory tendency during the clinical course. After extensive diagnostics, treatment with prednisolone under the presumed diagnosis of a cryptogenic organizing pneumonia was started, which lead to a rapid clinical response.
ISSN:1432-1289
DOI:10.1007/s00108-013-3298-4