Diffuse necrotizing pneumonia, cavitations and hemoptysis: A case of sweet syndrome
A 33-year-old man presented with a 1-week history of odynophagia, fever, and dyspnea. Initial chest computed tomography (CT) revealed multiple bilateral consolidations predominantly in the lower lobes. Laboratory investigations revealed leukocytosis, while cultures remained negative and the patient...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Respiratory Medicine Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007125000619 |
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| author | Felicia Montero-Arias Randall Rojas-Varela Abril Rodriguez-Loria Ricardo Ramos-Castro Simon Belilty-Montvelisky Rodrigo Cartin-Ceba |
| author_facet | Felicia Montero-Arias Randall Rojas-Varela Abril Rodriguez-Loria Ricardo Ramos-Castro Simon Belilty-Montvelisky Rodrigo Cartin-Ceba |
| author_sort | Felicia Montero-Arias |
| collection | DOAJ |
| description | A 33-year-old man presented with a 1-week history of odynophagia, fever, and dyspnea. Initial chest computed tomography (CT) revealed multiple bilateral consolidations predominantly in the lower lobes. Laboratory investigations revealed leukocytosis, while cultures remained negative and the patient was started on antibiotics for suspected community-acquired pneumonia. Despite this, his condition deteriorated, with follow-up CT showing necrotizing pneumonia and cavitations. He subsequently developed violaceous papular lesions on the upper extremities, and skin biopsy confirmed Sweet syndrome, characterized by dermal neutrophilic infiltration without leukocytoclastic vasculitis. Corticosteroid therapy was initiated; however, the patient succumbed to massive hemoptysis one month after admission. This case highlights the importance of considering systemic inflammatory conditions like Sweet syndrome in the differential diagnosis of culture-negative pneumonia. |
| format | Article |
| id | doaj-art-490ca787f3fa4d6e8d7180f1f7c48b56 |
| institution | DOAJ |
| issn | 2213-0071 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj-art-490ca787f3fa4d6e8d7180f1f7c48b562025-08-20T03:15:37ZengElsevierRespiratory Medicine Case Reports2213-00712025-01-015610222510.1016/j.rmcr.2025.102225Diffuse necrotizing pneumonia, cavitations and hemoptysis: A case of sweet syndromeFelicia Montero-Arias0Randall Rojas-Varela1Abril Rodriguez-Loria2Ricardo Ramos-Castro3Simon Belilty-Montvelisky4Rodrigo Cartin-Ceba5Hospital México, Department of Respiratory Medicine, Calle 10, Av. 8, San José, 10107, Costa Rica; Hospital Clínica Bíblica, Calle Central Alfredo Volio, Between Av. 14 and 16, San José, 10101, Costa Rica; Corresponding author. Hospital México, Department of Respiratory Medicine, Calle 10, Av. 8, San José, 10107, Costa Rica.Hospital México, Department of Radiology, Calle 10, Av. 8, San José, 10107, Costa RicaHospital México, Department of Internal Medicine, Calle 10, Av. 8, San José, 10107, Costa RicaHospital México, Department of Internal Medicine, Calle 10, Av. 8, San José, 10107, Costa RicaUniversidad de Ciencias Médicas, Sabana Oeste, San José, 10108, Costa RicaMayo Clinic, Pulmonary Division and Critical Care Department, 5777 E. Mayo Blvd., Phoenix, AZ, 85054, USAA 33-year-old man presented with a 1-week history of odynophagia, fever, and dyspnea. Initial chest computed tomography (CT) revealed multiple bilateral consolidations predominantly in the lower lobes. Laboratory investigations revealed leukocytosis, while cultures remained negative and the patient was started on antibiotics for suspected community-acquired pneumonia. Despite this, his condition deteriorated, with follow-up CT showing necrotizing pneumonia and cavitations. He subsequently developed violaceous papular lesions on the upper extremities, and skin biopsy confirmed Sweet syndrome, characterized by dermal neutrophilic infiltration without leukocytoclastic vasculitis. Corticosteroid therapy was initiated; however, the patient succumbed to massive hemoptysis one month after admission. This case highlights the importance of considering systemic inflammatory conditions like Sweet syndrome in the differential diagnosis of culture-negative pneumonia.http://www.sciencedirect.com/science/article/pii/S2213007125000619 |
| spellingShingle | Felicia Montero-Arias Randall Rojas-Varela Abril Rodriguez-Loria Ricardo Ramos-Castro Simon Belilty-Montvelisky Rodrigo Cartin-Ceba Diffuse necrotizing pneumonia, cavitations and hemoptysis: A case of sweet syndrome Respiratory Medicine Case Reports |
| title | Diffuse necrotizing pneumonia, cavitations and hemoptysis: A case of sweet syndrome |
| title_full | Diffuse necrotizing pneumonia, cavitations and hemoptysis: A case of sweet syndrome |
| title_fullStr | Diffuse necrotizing pneumonia, cavitations and hemoptysis: A case of sweet syndrome |
| title_full_unstemmed | Diffuse necrotizing pneumonia, cavitations and hemoptysis: A case of sweet syndrome |
| title_short | Diffuse necrotizing pneumonia, cavitations and hemoptysis: A case of sweet syndrome |
| title_sort | diffuse necrotizing pneumonia cavitations and hemoptysis a case of sweet syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S2213007125000619 |
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