Key result
A 54-year-old woman presented with intermittent hemoptysis, dyspnea, and a left mediastinal mass that was unresponsive to initial penicillin therapy.
Case Report (n=1)
Prompts consideration of non-infectious etiologies in antibiotic-refractory mediastinal masses; leaves open the specific diagnosis pending further evaluation.
Presentation of CaseA 54-year-old woman was admitted to the hospital because of intermittent hemoptysis, dyspnea, and a left mediastinal mass.The patient had been well until seven months earlier, when a cough, fatigue, and hemoptysis developed. She was seen at another hospital, where radiographs of the chest showed patchy and linear opacities in the left lower lobe. Another radiograph of the chest (Figure 1), obtained eight days later, revealed progressive air-space disease in the lingula and left lower lobe and an ill-defined focal opacity in the left upper lobe. Penicillin was prescribed, but the patient was unimproved and began . . .
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Cabot et al. (1994) conducted a case report in intermittent hemoptysis, dyspnea, and a left mediastinal mass (n=1). A 54-year-old woman presented with intermittent hemoptysis, dyspnea, and a left mediastinal mass that was unresponsive to initial penicillin therapy.
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