PT  - JOURNAL ARTICLE
AU  - Bobbak Vahid
AU  - Enrique Machare-Delgado
AU  - Paul E Marik
TI  - Acute Unilateral Pneumonitis in a Patient With Polymyositis: A Unique Presentation of Polymyositis-Associated Pneumonitis
DP  - 2007 Dec 01
TA  - Respiratory Care
PG  - 1774--1778
VI  - 52
IP  - 12
4099  - http://rc.rcjournal.com/content/52/12/1774.short
4100  - http://rc.rcjournal.com/content/52/12/1774.full
AB  - We describe a unique presentation of polymyositis-associated pneumonitis. A 45-year-old man with a history of polymyositis presented with an episode of fever, cough, dyspnea, rapidly progressive respiratory failure, and unilateral pulmonary infiltrates. Although bacterial pneumonia was initially suspected, all cultures, including bronchoalveolar cultures, remained negative, and the patient's condition worsened despite wide-spectrum antibiotics. Lung biopsy showed organizing pneumonia. The patient was treated with systemic corticosteroids and had complete resolution of respiratory failure and pulmonary infiltrates. We discuss polymyositis/dermatomyositis-associated pneumonitis.