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Pulmonary and Critical Care Pearls |

A 43-Year-Old Man With a Large Recurrent Right-Sided Pleural Effusion*

Ruxana T. Sadikot, MD; Joseph L. Fredi, MD; Richard W. Light, MD, FCCP
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*From the Departments of Medicine, Saint Thomas Hospital and Vanderbilt University School of Medicine, Nashville, TN.

Correspondence to: Ruxana T. Sadikot, MD, T1217 Medical Center North, Pulmonary and Critical Care Division, Vanderbilt University School of Medicine, Nashville, TN 37232-2650; e-mail: RTSadikot@POL.net



Chest. 2000;117(4):1191-1194. doi:10.1378/chest.117.4.1191
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A 43 -year-old white man developed a febrile illness for 2 to 3 weeks that was associated with retrosternal chest pain radiating to the back in May 1997. The patient was treated with a course of oral antibiotics with some improvement. However, several weeks later, he developed exertional shortness of breath and pedal edema. He denied orthopnea or paroxysmal nocturnal dyspnea. He had gained 30 lb in weight.

His medical history was significant for type II diabetes, for which he used glyburide. He had a 10-pack-year history of smoking and had quit 10 years ago. His alcohol intake was modest, and he denied use of illicit drugs. He worked as a mechanic assembling computers. There was no history of travel abroad. There was no history of tuberculosis (TB) or TB contact.

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