Case 12-1978

Abstract

Presentation of Case First admission. A 67-year-old woman was admitted to the hospital because of Wegener's granulomatosis.She was well until three and a half months earlier, when she began to have pleuritic pain, malaise, anorexia and a sensation of fullness in the area of the paranasal sinuses. A physician prescribed tetracycline and codeine, without improvement. One month later she began to complain of "shooting pains" on both sides of the abdomen. She came to the hospital, where examination disclosed no abnormality except that the temperature was 37.8°C. X-ray films of the chest (Fig. 1) showed an irregular apical . . .