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

Abstract

CASE PRESENTATION:

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.

• Authors: Zein Kattih, Akhilesh Mahajan, Brian Birnbaum, Abdulrahman Aman, Richard S Lazzaro, Bushra Mina
• Journal: Chest (Chest) Vol. 159 Issue 4 Pg. e221-e224 (04 2021) ISSN: 1931-3543 [Electronic] United States
• PMID: 34022022 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2020 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

Topics

• Biopsy
• Bronchi (pathology)
• Bronchiolitis (complications, diagnosis)
• Bronchoscopy
• Chronic Disease
• Cough (diagnosis, etiology)
• Diagnosis, Differential
• Eosinophilia (complications, diagnosis)
• Humans
• Male
• Middle Aged
• Recurrence
• Respiratory Tract Infections (diagnosis, etiology)
• Tomography, X-Ray Computed