# Necrotizing Pneumonia With Extensive Lobar Cavitation

## TL;DR

A young woman with severe pneumonia showed extensive lung cavitation, raising suspicion of tuberculosis despite initial antibiotic treatment.

## Contribution

This case report highlights a rare presentation of necrotizing pneumonia with extensive lobar cavitation.

## Key findings

- The patient's chest CT showed extensive left lung pneumonia with pleural effusion.
- Repeat imaging revealed extensive lobar cavitations, suggesting tuberculosis.
- Initial antibiotic treatment provided temporary improvement but the condition worsened.

## Abstract

Pneumonia occupies one of the leading positions in morbidity and mortality worldwide. It is frequently categorized depending on the site of acquisition. Here, we present a case of a young woman who was admitted to the Emergency Department (ED) with cough, dyspnea, fever, and progressive worsening associated with palpitations and hypotension. An initial x-ray was followed by a computed tomography (CT) scan of the chest, which revealed signs of extensive left lung pneumonia with pleural effusion. Despite initial improvement after antibiotic treatment, the patient's condition declined. A repeat chest CT showed evidence of extensive lobar cavitations, leading to suspicion of tuberculosis.