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Α 78-year-old female who presents with a non-resolving pneumonia: what is your diagnosis?

Evangelia Panagiotidou1, Serafeim-Chrysovalantis Kotoulas1, Maria Kilmpasani2

  • 1Respiratory Failure Unit, General Hospital of Thessaloniki "G. Papanikolaou", Thessaloniki, Greece.

Breathe (Sheffield, England)
|March 2, 2019
PubMed

Insights

Non-resolving pneumonia with a mass-like appearance can mimic cancer. Thorough investigation of infectious causes is crucial, as these conditions often have a better patient prognosis.

Area of Science:

  • Pulmonology
  • Radiology
  • Infectious Diseases

Background:

  • Persistent pneumonia with a mass-like radiological appearance presents a diagnostic challenge.
  • Malignancy is a primary concern, but infectious etiologies must be considered.

Purpose of the Study:

  • To emphasize the importance of investigating infectious causes in non-resolving pneumonia with mass-like features.
  • To highlight the better prognostic implications of infectious etiologies compared to malignancy.

Main Methods:

  • Review of clinical cases with non-resolving pneumonia and mass-like radiological findings.
  • Differential diagnosis considerations including infectious and malignant processes.
  • Emphasis on diagnostic workup for infectious pathogens.

Main Results:

  • Non-resolving pneumonia with mass-like imaging can be caused by various conditions.
  • Infectious etiologies are treatable and associated with favorable outcomes.
  • Prompt and thorough investigation can differentiate between causes.

Conclusions:

  • Infectious causes of non-resolving pneumonia with mass-like appearance should be actively sought.
  • Early diagnosis and treatment of infectious pneumonia improve patient prognosis.
  • Radiological findings suggestive of malignancy warrant a comprehensive infectious workup.

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