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Hilar and mediastinal lymphadenopathy with hypersensitivity pneumonitis induced by penicillin
M Yonemaru1, Y Mizuguchi, I Kasuga
1First Department of Medicine, Tokyo Medical College, Japan.
Chest
|December 1, 1992
Abstract:
A 54-year-old Japanese man demonstrated a sultamicillin-induced hilar and mediastinal lymphadenopathy with hypersensitivity pneumonitis. A positive lymphocyte stimulation test for sultamicillin and a decreased CD4/CD8 ratio of lymphocytes in BAL fluid suggested that an alteration in cell-mediated mechanisms was responsible for the patient's symptoms.