A Case of Granulomatosis with Polyangiitis Masquerading as Community Acquired Pneumonia

Division

East Florida

Hospital

Northwest Medical Center

Document Type

Case Report

Publication Date

5-8-2023

Keywords

Alveolar hemorrhage, Granulomatosis with Polyangiitis, Pneumonia, Tamponade, Vasculitis, c-ANCA

Disciplines

Immune System Diseases | Internal Medicine | Medicine and Health Sciences | Respiratory Tract Diseases

Abstract

Granulomatosis with polyangiitis (GPA) has a multitude of presentations, including appearing as a refractory community-acquired pneumonia (CAP) or an isolated localized pulmonary disease. This case describes a patient suspected to have a CAP before further workup and lung biopsy revealed his diagnosis of GPA. This case report demonstrates GPA's diverse presentations, critical complications such as diffuse alveolar hemorrhage (DAH) and cardiac tamponade, and nuanced management options.

Publisher or Conference

Journal of Community Hospital Internal Medicine Perspectives

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