A Case of Pulmonary Tuberculosis with Delayed Diagnosis Due to the Temporary Clinical Improvement after Use of Levofloxacin and Amikacin under the Impression of Community Acquired Pneumonia

Hee Seok Lee, Young Ae Kang, Jin Young Oh, Jae Ho Lee, Chul Gyu Yoo, Choon Taek Lee, Young Whan Kim, Sung Koo Han, Young Soo Shim, Jae Joon Yim

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3 Citations (Scopus)


Fluoroquinolone is one of the first-line antibiotics recommended for treating community-acquired pneumonia. However, using fluroquinolones for presumptive community-acquired pneumonia can delay the diagnosis and the treatment of pulmonary tuberculosis because of its strong activity against mycobacteria. Here, we report a case of a 54-year-old female taking immunosuppressants after a renal transplant whose diagnosis of pulmonary tuberculosis was delayed as a result of the use of levofloxacin and amikacin under the original impression of community-acquired pneumonia. This case suggests that clinicians should consider the possibility of pulmonary tuberculosis in the case of a partial response of the pneumonia to flouroquinolones and/or aminoglycosides.

Original languageEnglish
Pages (from-to)395-401
Number of pages7
JournalTuberculosis and Respiratory Diseases
Issue number4
Publication statusPublished - 2003 Oct


All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

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