We report the case of a patient with pulmonary fibrosis, developed as an adverse\nreaction to nitrofurantoin therapy received for totally 6 months for the\nprevention of recurrent urinary tract infections. Chest X-ray and CT scan revealed\nextensive elements of interstitial pulmonary fibrosis. After diagnosis,\nadministration of nitrofurantoin was immediately stopped; and specific prolonged\ntherapy with low-dose corticosteroids per os and inhaled steroids were\nadministered. The patient responded successfully both clinically and biochemically\nand possible digestive system side effects were prevented through the\nadministration of gastroprotection medication. For the prevention of urinary\ntract infection, the patient received well tolerated therapy with fosfomycin\nwhich was further continued as a prophylactic agent.
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