Southwest Journal of Pulmonary and Critical Care (May 2020)

May 2020 imaging case of the month: still another emerging cause for infiltrative lung abnormalities

  • Panse PM,
  • Jokerst CE ,
  • Gotway MB

DOI
https://doi.org/10.13175/swjpcc027-20
Journal volume & issue
Vol. 20, no. 5
pp. 147 – 162

Abstract

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No abstract available. Article truncated after 150 words. Clinical History: A 46-year-old man with a history of well-controlled asthma presented to the Emergency Room with complaints of worsening non-productive cough for 4-5 days followed by fever to 104°F over the previous 3 days. The patient also complained of some chills and loose stools. The patient denied rhinorrhea, sore throat, congestion, and nausea or vomiting. The patient also denied illicit drug use, and drinks alcohol only occasionally and denied smoking. The patient’s physical examination showed a pulse rate of 79 / minute and a respiratory rate of 18 / minute, although his blood pressure was mildly elevated at 149/84 mmHg; he was afebrile with a temperature of 97.7 °F (36.5 °C). The patient’s room air oxygen saturation was 98%. The physical examination showed some mild expiratory wheezes bilaterally, but was otherwise entirely within normal limits. Which of the following represents the most appropriate step for the patient’s management? …

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