Authors
Ali Haider
PG Trainee, 2Professor and HOD
Khalid Mehmood Tariq
Professor and HOD
Muhammad Shahid Khan
Associate Professor
Faiza Batool
Professor, Department of Medicine, HITEC IMS Taxila
Cantt
Kausar Malik
Professor, Department of Medicine, HITEC IMS
Taxila Cantt
Abstract
This case highlights the diagnostic challenge of a 35-year-old
female initially managed as community-acquired pneumonia, who
later presented with persistent respiratory symptoms, systemic
complaints, and peripheral blood eosinophilia. Further
investigations revealed positive peripheral antineutrophil
cytoplasmic antibodies ( p-ANCA )and pulmonary infiltrates,
leading to a diagnosis of Eosinophilic Granulomatosis with
Polyangiitis (EGPA), a rare form of ANCA-associated vasculitis.
She was managed successfully with high-dose methylprednisolone,
methotrexate, and supportive care. Our case illustrates the
importance of suspecting rare causes in case of non resolving
pneumonia.
Keywords: Eosinophilic Granulomatosis with Polyangitis,
Pneumonia, ANCA
How to cite this article
Haider A, Tariq KM, Khan MS, Batool F, Malik K. A diagnostic
challenge presenting as Non Resolving pneumonia in a Young
Female. HMDJ. 2025 June; 05(01): 31-34.
DOI: https://doi.org/10.69884/hmdj.5.1.9101
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