• Internal medicine · Jan 2022

    Case Reports

    Transient and Recurrent Pulmonary Infiltrations Associated with Familial Mediterranean Fever.

    • Miho Nishiyama, Kiyohide Takahashi, Shun Morizumi, Yoshinobu Takahashi, Shinichi Iwamura, Kenya Sumitomo, Seiichi Nakano, and Tsutomu Shinohara.
    • Division of Internal Medicine, Japan Agricultural Cooperatives Kochi Hospital, Japan.
    • Intern. Med. 2022 Jan 1; 61 (22): 341534193415-3419.

    AbstractChest symptoms and pleural effusion due to serositis in familial Mediterranean fever (FMF) are occasionally misdiagnosed as acute pneumonia. However, the actual pulmonary involvement of FMF is extremely rare. A 67-year-old man was referred to our hospital due to repeated and transient anterior chest pain. Chest images revealed a moderate amount of pericardial fluid, slight bilateral pleural effusion, and infiltrations in both lower lung lobes. Colchicine treatment without antibiotics rapidly improved these symptoms and findings. Pericarditis, pleurisy and the response to colchicine indicated FMF. FMF should be considered as a causative disease of pulmonary infiltrations, especially if it occurs repeatedly.

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