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A Chest Wall Mass in a 73-Year-Old Man*

Andrea Schaeffer-Pautz, MD; Luis F. Laos, MD; Dennis P. Sorresso, MD; James D. Cury, MD
Author and Funding Information

*From the Department of Internal Medicine (Dr. Schaeffer-Pautz) and the Department of Pulmonary/Critical Care Medicine (Drs. Laos, Sorresso, and Cury), University of Florida, Jacksonville, FL.

Correspondence to: James D. Cury, MD, 655 W. Eighth St, Jacksonville, FL 32209



Chest. 2001;120(6):2051-2052. doi:10.1378/chest.120.6.2051
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Extract

A 73-year-old man presented to the emergency department with a productive cough, shortness of breath, and an enlarging chest wall mass 2 months after the completion of antituberculous therapy. He had a cough productive of brown sputum. He denied fever, chills, weight loss, hemoptysis, and night sweats. His medical history was notable for hypertension and also for Mycobacterium tuberculosis (MTB) infection that had been diagnosed by sputum culture with a compatible chest radiograph 14 months prior to admission. At the time of diagnosis, the patient had a pleural effusion, but he refused to undergo thoracocentesis. The MTB isolate was sensitive to all drugs, and the patient was treated using direct observed therapy with isoniazid, rifampin, pyrazinamide, and ethambutol for 2 months and with isoniazid and rifampin for 11 more months. Two months prior to stopping therapy, he underwent a diagnostic thoracocentesis, which did not reveal tuberculosis.

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