Hilar and mediastinal lymphadenopathy with hypersensitivity pneumonitis induced by penicillin.

Yonemaru, M; Mizuguchi, Y; Kasuga, I; Utsumi, K; Ichinose, Y; Toyama, K · Chest · 1992

case_report · Level V

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Abstract

A 54-year-old Japanese man demonstrated a sultamicillin-induced hilar and mediastinal lymphadenopathy with hypersensitivity pneumonitis. A positive lymphocyte stimulation test for sultamicillin and a decreased CD4/CD8 ratio of lymphocytes in BAL fluid suggested that an alteration in cell-mediated mechanisms was responsible for the patient's symptoms.

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