Chlamydial infection showing migratory pulmonary infiltrates

Abstract

A 70-year old man was admitted to our hospital because of nonproductive cough, fever, and increasing dyspnea associated with alveolar opacities on chest roentgenogram, which later migrated to priviously unaffected areas. The diagnosis of Chlamydial pneumonitis was made on serological grounds. Organizing pneumonia was documented by transbronchial lung biopsies and the subsequent course was satisfactory under minocycline therapy. Chlamydial infection should be considered in the differential diagnosis of migratory pulmonary infiltrates. © 2007 The Japanese Society of Internal Medicine.