Fever, dry cough and exertional dyspnoea: a case of EBV infection asssociated pulmonary lymphomatoid

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  Lymphomatoid granulomatosis (LYG), a rare and Epstein Barr (EBV) virus associated lymphoproliferative disorder, is an angiocentric and angiodestructive process that most commonly affects the lung as bilateral nodular infiltrates composed of EBV-positive B cells admixed with predominate reactive T cells.LYG lacks specific manifestation in both clinic and radiology, which may delay a definitive diagnosis.In this case report, we reported a 39-year-old male pulmonary Lymphomatoid granulomatosis with three months of fever, weight loss, dry cough and exertional dyspnoea, who experienced misdiagnosis as pneumonia, Wegeners granulomatosis and infectious mononucleosis.The clinical and radiological characteristics of this case were presented, and pathological diagnosis procedure was discussed.
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