Granulomatose pulmonar de corpo estranho em um usuário crônico de cocaína em pó

Translated title of the contribution: Pulmonary foreign body granulomatosis in a chronic user of powder cocaine

Shruti Khurana, Ankit Chhoda, Sandeep Sahay, Priyanka Pathania

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

We describe the case of a 33-year-old man, a chronic user of powder cocaine, who presented with dyspnea, fever, night sweats, and significant weight loss. Chest HRCT revealed centrilobular nodules, giving an initial impression of miliary tuberculosis. Therefore, he was started on an empirical, four-drug antituberculosis treatment regimen. Four weeks later, despite the tuberculosis treatment, he continued to have the same symptoms. We then performed transbronchial lung biopsy. Histopathological analysis of the biopsy sample revealed birefringent foreign body granuloma. A corroborative history of cocaine snorting, the presence of centrilobular nodules, and the foreign body-related histopathological findings led to a diagnosis of pulmonary foreign body granulomatosis. This report underscores the fact that pulmonary foreign body granulomatosis should be included in the differential diagnosis of clinical profiles resembling tuberculosis.

Translated title of the contributionPulmonary foreign body granulomatosis in a chronic user of powder cocaine
Original languagePortuguese
Pages (from-to)320-321
Number of pages2
JournalJornal Brasileiro de Pneumologia
Volume43
Issue number4
DOIs
StatePublished - Jul 1 2017

Keywords

  • Cocaine-related disorders
  • Foreign-body
  • Granuloma
  • Lung

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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