Author/Editor		Mušič, E; Petrič, V; Mesič, M; Rajter, M
Title		Pljučnica z dolgotrajno povišano telesno temperaturo. Neuspeh antibiotičnega zdravljenja
Translated title		Pulmonary infiltration associated with persistent fever. Inefficacy of antibiotic therapy
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 32, št. 1
Publication year		1993
Volume		str. 159-67
Language		slo
Abstract		An 18-year old patient suddenly fell ill with fever and symptoms of left lobar pneumonia. He was treated with a 5-day course of antibiotics in his home and then with several different antibiotics in two hospitals. Affer three weeks, he was discharged home. There his temperature rose again; he developed cough and lost weight. Six weeks after the onset of the disease, sputum cultures showed growth of Myobacterum tuberculosis. The patient was admitted to another hospital where he was started on antituberculosis therapy. After one week of treatment, he become afebrile and his general condition improved. These case report shows that today, because of lessening awareness of pulmonary tuberculosis, the disease can be easily overlooked. Pulmonary tubercolosis should always be considert in patients with lung infiltrations associated with persistent tever, emacition, perspiration and cough, resistant to antibiotic therapy. Prior to the institution of etiologic treatment, the patient had been treated with nine different antibiotics, either with single agents or with a combination of several drugs. Altough on first admisson the patient was suspected of having tuberculosis, antituberculosis treatment was not instituted at the time. Of interest is the fact that initial clinical and radiological manifestations of the disease suggested nonspecific lobar pneumonia.
Descriptors		PNEUMONIA, LOBAR TUBERCULOSIS, PULMONARY RIFAMPIN MYCOBACTERIUM TUBERCULOSIS