A 46-year-old male with a 4-week history of cough and night sweats was admitted to the hospital due to chest pain. The patient denied using any intravenous drugs. Blood analysis: Elevated levels of inflammatory markers Radiograph analysis: A CT scan showed a mass in the right lung (Figure 1). Histopathology of bronchoscopy (guided transbronchial biopsies) No malignancy was observed.
Vascular and interstitial giant cell granulomas were observed (Figure 2). Medication: The patient was treated with amoxicillin/clavulanic acid, and clarithromycin; however, there was a recurrence of fever after a week. Second radiographic analysis: A second CT scan revealed abscessing pneumonia and empyema (Figure 3). Change in medication A chest tube was inserted into the patient, and the antibiotics were switched to a combination of piperacillin-tazobactam for a period of 2 weeks and clindamycin for a…
