June 2023 Pulmonary Case of the Month: An Invisible Disease

Abstract

No abstract available. Article truncated after 150 words. History of Present Illness A 78-year-old man presented to the emergency Department on April 7 for shortness of breath and weakness over the last 2 weeks. He was in good health prior to an outside hospitalization March 29-April 3 for pneumonia and possible a non-ST-elevation myocardial infarction (elevated troponins). He had a bronchoscopy during his recent outside hospitalization without specific pathogen identified but treated with antibiotics, discharged on levofloxacin. Since his hospital discharge 4 days previously he feels weaker and increasingly short of breath. SOB even walking around in his home. He denies fever or a productive cough. Past Medical History, Family History and Social History Atrial fibrillation, s/p ablation. On Eliquis. Prior renal cell carcinoma, s/p resection, no recurrence DM Type 2 GERD OSA Essential tremor Never smoked Medications Apixaban Aspirin Atorvastatin Flecanide Insulin Levofloxacin Lisinopril Pantoprazole Tamsulosin Physical Examination General: The patient looks comfortable and is in no …

Keywords

• myasthenia gravis
• pneumonia
• levofloxacin
• levaquin
• ct scan
• chest x-ray
• pulmonary function testing
• maximum inspiratory pressure
• mip
• flow volume loop