{
  "abstract": "A farmer in his mid-60s with diabetes mellitus and heart failure on medications presented with non-resolving pneumonia for the past 1 month. The patient was initially treated for community-acquired pneumonia but was referred to us when there was no resolution of symptoms. The patient had anaemia, neutrophilic leucocytosis, acute kidney injury, raised D-dimer and C-reactive protein, and a positive cytoplasmic anti-neutrophil cytoplasmic antibody. After an extensive workup, a diagnosis of granulomatosis with polyangiitis was made. The patient was treated with oral glucocorticoids for 4 weeks. On follow-up, the patient showed drastic improvement clinically, biochemically and radiologically. Pulmonary infarction can mimic pneumonia and should be considered in patients having risk factors for embolism. A peripheral wedge-shaped opacity (Hampton’s hump) is often a classical sign of pulmonary infarction. Thus, this case emphasises the importance of rare presentation, diagnostic clues and management strategies.",
  "authors": [
    {
      "affiliations": [
        "Respiratory Medicine, Datta Meghe Institute of Higher Education & Research (Deemed to be University), Wardha, Maharashtra, India"
      ],
      "name": "Ashwin Karnan"
    },
    {
      "affiliations": [
        "Datta Meghe Institute of Higher Education & Research (Deemed to be University), Wardha, Maharashtra, India"
      ],
      "name": "Babaji Ghewade"
    },
    {
      "affiliations": [
        "Datta Meghe Institute of Higher Education & Research (Deemed to be University), Wardha, Maharashtra, India"
      ],
      "name": "Ulhas Jadhav"
    },
    {
      "affiliations": [
        "Respiratory Medicine, Datta Meghe Institute of Higher Education & Research (Deemed to be University), Wardha, Maharashtra, India"
      ],
      "name": "Vivek Alone"
    }
  ],
  "title": "Non-resolving pneumonia revealing ANCA vasculitis",
  "uid": "4192613c-a841-5781-ac47-11bcb7ee2aa0"
}