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Bilateral pulmonary nodules and acute respiratory failure in a 22-year-old man with dyspnoea and fever

Giorgio Castellana, Vito Liotino, Maria Rosaria Vulpi, Ina Ali, Lorenzo Marra, Onofrio Resta
Breathe 2017 13: 317-322; DOI: 10.1183/20734735.008317
Giorgio Castellana
Institute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine “Aldo Moro”, Bari, Italy
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  • For correspondence: giorgiocastellana@virgilio.it
Vito Liotino
Institute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine “Aldo Moro”, Bari, Italy
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Maria Rosaria Vulpi
Institute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine “Aldo Moro”, Bari, Italy
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Ina Ali
Institute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine “Aldo Moro”, Bari, Italy
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Lorenzo Marra
Institute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine “Aldo Moro”, Bari, Italy
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Onofrio Resta
Institute of Respiratory Disease, Cardio-Thoracic Department, University of Medicine “Aldo Moro”, Bari, Italy
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  • Figure 1
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    Figure 1

    Chest radiograph showing bilateral nodular opacities with a lower zone predominance, interstitial ­thickening and pleural effusion on the left.

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    Figure 2

    Chest CT (axial view) with parenchymal (a, c and d) and mediastinal windows (b). a) Upper lung fields: infiltrate with pseudonodular aspect, surrounded by a ground-glass halo (red arrow) and axillar lymph nodes (green arrows). b) Middle lung fields: mediastinal lymph nodes (green arrow). c and d) Lower lung fields: infiltrates with pseudonodular aspect with a tendency toward confluence (red arrows), interlobular interstitial thickening (orange arrow) and pleural effusion (blue arrows).

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    Figure 3

    Histological findings from surgical biopsy of the right inguinal lymph nodes: fascicles of monomorphic spindle cells and vascular structure mixed with chronic infiltrates. 100× magnification.

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Vol 13 Issue 4 Table of Contents
Breathe: 13 (4)
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Bilateral pulmonary nodules and acute respiratory failure in a 22-year-old man with dyspnoea and fever
Giorgio Castellana, Vito Liotino, Maria Rosaria Vulpi, Ina Ali, Lorenzo Marra, Onofrio Resta
Breathe Dec 2017, 13 (4) 317-322; DOI: 10.1183/20734735.008317

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Bilateral pulmonary nodules and acute respiratory failure in a 22-year-old man with dyspnoea and fever
Giorgio Castellana, Vito Liotino, Maria Rosaria Vulpi, Ina Ali, Lorenzo Marra, Onofrio Resta
Breathe Dec 2017, 13 (4) 317-322; DOI: 10.1183/20734735.008317
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