Wegener granulomatosis--rare case presentation

Wegener granulomatosis is often misdiagnosed as pneumonia and most common cause for bilateral lung infiltrates' are bacterial, viral, pneumocystis jiroveci infection. We describe a 35 year old female with 15 days history of nasal obstruction, breathlessness and fever. Investigations in this patient revealed chronic necrotizing vasculitic and granulomatous lesion in nasal biopsy, vasculitic pauciimmune glomerulonephritis in renal biopsy, serology test was positive for C-ANCA, nodular with cystic lesion in CT-thorax. All these findings confirmed the diagnosis of Wegener granulomatosis.