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Pulmonary and Critical Care Pearls |

A New England Logger With a Diffuse Pneumonia*

Daniel S. Paul, MBBS; David A. Kaminsky, MD
Author and Funding Information

*From the Division of Pulmonary Disease and Critical Care Medicine, University of Vermont College of Medicine/Fletcher Allen Health Care, Burlington, VT.

Correspondence to: David A. Kaminsky, MD, Assistant Professor of Medicine, University of Vermont College of Medicine/Fletcher Allen Health Care, Given C-317, Burlington, VT 05405; e-mail: dkaminsk@zoo.uvm.edu



Chest. 2000;117(1):244-247. doi:10.1378/chest.117.1.244
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Extract

A 54 -year-old white male patient was transferred to our hospital for worsening pneumonia. He had been admitted to an outlying hospital with a 1-week history of increasing dyspnea, cough productive of green sputum, and right-sided chest pain associated with night sweats. His medical history was significant for an 80 pack-year smoking history, diabetes mellitus, coronary artery disease, alcohol abuse, and gout. The patient had been self-employed as a logger and worked in the New England region, except for a trip to Tennessee 4 months prior to presentation. A diagnosis of community-acquired pneumonia was made at the outlying hospital, and the patient was begun on a combination of cefazolin and clarithromycin. After 4 days of therapy, the patient had a worsening of symptoms and progression of the radiologic abnormalities, prompting his transfer to our hospital.

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