Volume 91, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



A 42-year-old male presented in June of 2011 with nocturnal fevers, night sweats, an 8-kg weight loss, and a cutaneous right chest wall mass. In March of 2013, a computed tomographic scan of the thorax showed a 54 × 18 × 26-mm right lower lobe mass with peripheral calcifications, and in May of 2013, he was admitted for a segmental lobectomy, in which histologic examination of the pulmonary tissue revealed granulomas with multinucleated giant cells. The tissue was negative for acid-fast bacillae on Ziehl–Neelsen stain, and culture grew . Therefore, he was started on four first-line antituberculosis medications and showed rapid symptomatic improvement.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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  • Received : 28 Jan 2014
  • Accepted : 14 Feb 2014
  • Published online : 01 Oct 2014
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