A Case of Acute Necrotizing Panangitis with Pulmonary Granuloma

Abstract

A 23 year old woman who had high fever, frequent cough and sputum, showed abnormal shadows on her chest roentgenogram.
A diagnosis of pneumonia was first entertained but the lesions did not respond to the antibiotics and steroid hormones. She gradually developed respiratory insufficiency and expired 18 days after admission.
At autopsy, the pulmonary lesions was proved to be a widespread ulcerative granulomatous inflammation with cavity formation and necrotizing or granulomatous panagitis in many organs were also noted.