Necrotizing Lung Nodules of Wegener’s Granulomatosis Treated with Chinese Herbal Medicine: A Three Years Follow-Up Case Report

ABSTRACT

Wegener’s granulomatosis (WG) is an uncommon systemic vasculitis of unclear pathophysiology. We described the case of a 53-year-old man diagnosed with WG characterized by necrotizing lung abscess. He was dissatisfied with the lack of response to treatment of corticosteroids and antibiotics. With persistent fever and cough, he requested to switch to Chinese herbal medicine (CHM) for further treatment instead. After two weeks of treatment, there was dramatic improvement and both fever and coughing subsided. The chest X-ray film showed disappearance of air-fluid level, which was compatible with the disease.