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Papers of the Week

2021 Apr




A 54-Year-Old Man With Chronic Cough and Recurrent Upper Respiratory Infection.


Kattih Z, Mahajan A, Birnbaum B, Aman A, Lazzaro RS, Mina B
Chest. 2021 Apr; 159(4):e221-e224.
PMID: 34022022.


A 54-year-old man sought treatment at the ED for a productive cough with green phlegm of approximately 6 months' duration that was accompanied by a 10-pound weight loss, night sweats, and occasional subjective fevers. He had made several prior visits to the ED for the cough and was hospitalized 4 months earlier for similar symptoms, at which time he underwent a bronchoscopy with BAL and was discharged with antibiotics for presumed pneumonia. He did not report any itching, rashes, sinus infections, joint swelling, joint pain, or GI symptoms. His long-term medications included omeprazole and amlodipine. The patient had a past medical history of grade III follicular lymphoma for which he completed six cycles of bendamustine 4 years before presentation and had been in remission since. He was a never smoker, had a recent travel history to the Dominican Republic 8 months before admission, and had no recent sick contacts.