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A Case of Fulminant Invasive Pneumococcal Disease With Unique Diffuse Pulmonary Lesions on Thin-section Computed Tomography.

S treptococcus pneumoniae is the most common pathogen of community-acquired pneumonia. S. pneumoniae pneumonia typically appears as alveolar pneumonia on plain chest radiograph and shows nonsegmental consolidation with ground-glass opacity on computed tomography (CT). Pneumococcal infection is more severe in patients with a history of splenectomy or splenic hypoplasia. We experienced a case of fulminant invasive pneumococcal disease (IPD) with atypical pulmonary lesions in a patient with splenic hypoplasia. Thin-section chest CT showed diffuse multiple micronodules and thickening of the interlobular septa and bronchovascular bundles. To the best of our knowledge, these thin-section CT findings have not been previously reported in pneumococcal infection.