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- Title
An unusual cause of breathlessness and profuse micronodules.
- Authors
Rajagopala, Srinivas; Kancherla, Roopa; Ganesan, Nidhya; Balalakshmoji, Devanand; Karuppannasamy, Divya; Ramanathan, Ramanathan Palaniappan; Gopalan, Rajendiran
- Abstract
We describe a 21-year-old male with a history of smoking and subacute onset of breathlessness with normal cardiorespiratory examination. The presence of "track marks" and digital infarcts prompted evaluation for infective endocarditis and confrontational history taking revealed anorexia, weight loss over 3 months along with intravenous drug abuse of reconstituted tablets of tapentadol. Echocardiography was normal and blood cultures were sterile; computed tomography showed bilateral, diffuse, small centrilobular nodules with "tree-in-bud" appearance. In this clinicopathologic conference, we discuss the clinical and radiological differential diagnosis of centrilobular nodules, lung biopsy findings, and management options for patients with such a presentation.
- Subjects
LUNG diseases; DYSPNEA; COMPUTED tomography; ECHOCARDIOGRAPHY; INTRAVENOUS drug abuse
- Publication
Lung India, 2018, Vol 35, Issue 5, p431
- ISSN
0970-2113
- Publication type
Case Study
- DOI
10.4103/lungindia.lungindia_452_17