CTICasesMeasles Pneumonia
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Imaging findings
Initial minor chest CT findings rapidly deteriorated to reveal numerous fuzzy centrilobular nodules and some larger nodules scattered throughout the mid-lungs, with denser, confluent consolidation in the lung bases. This pattern suggests airway-centered nodules with subsequent confluent consolidation. Autopsy findings later identified inclusions consistent with a diagnosis of measles.
Key takeaways
Measles pneumonia can present with severe CT findings, including fuzzy centrilobular nodules, larger nodules, and confluent consolidation. In immunocompromised patients, such as those on immunosuppression for dermatomyositis, measles can have a delayed presentation, potentially without the characteristic rash, and the virus may persist long after exposure. This can lead to rapid progression to ARDS and death, making early recognition challenging.
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