
A 70-year-old man was admitted with a chief complaint of dyspnea. Chest X-ray images showed diffuse infiltrative shadows in both lungs. A chest CT scan showed diffuse non-segmental consolidation with an air bronchogram, ground-glass opacity, and possible traction bronchiectasis. The number of lymphocytes was abnormally high in the bronchoalveolar lavage fluid (BALF), and examination of a transbronchial lung biopsy specimen revealed Masson's body and bronchiolitis. Microorganisms were not present in the BALF. Drug-induced pneumonitis, caused by the Chinese herbal drug saiko-ka-ryukotsu-borei-to or valsartan or both, which he had been taking for about 3 months, was diagnosed. The patient's symptoms and the pulmonary infiltrates seen on chest radiograph diminished after these drugs were discontinued and oral prednisolone was administered.
Male, Humans, Tetrazoles, Valsartan, Radiography, Thoracic, Valine, Pneumonia, Tomography, X-Ray Computed, Aged, Drugs, Chinese Herbal
Male, Humans, Tetrazoles, Valsartan, Radiography, Thoracic, Valine, Pneumonia, Tomography, X-Ray Computed, Aged, Drugs, Chinese Herbal
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