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Repeated Infections in a 68-Year-Old Man*

Steven M. Sorenson, MD; Emelya Moradzadeh, MD; Rajnikant Bakhda, MD
Author and Funding Information

From the Department of Radiology (Dr. Sorenson), UCLA School of Medicine; and West Los Angeles Veterans Administration Medical Center (Drs. Moradzadeh and Bakhda), Los Angeles, CA.

Correspondence to: Steven M. Sorenson, MD, UCLA School of Medicine, Department of Radiology, 10833 Le Conte Ave, Los Angeles, CA 90095; e-mail: ssorenson@usa.net



Chest. 2002;121(2):644-646. doi:10.1378/chest.121.2.644
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Extract

A 68- year-old man presents to the emergency department with increasing dyspnea. His medical history is significant for a myocardial infarction 7 years prior, with marked coronary artery disease diagnosed at that time. He has an 80 pack-year history of tobacco use, but quit several years ago. In addition, he had multiple prior episodes of pneumonia, some of which required intubation and prolonged hospitalization. On one occasion, a tracheostomy was placed. Three years prior to presentation, the patient underwent pulmonary function testing that revealed moderate reduction in functional residual capacity, with a mild reduction in the FEV1. Diffusing capacity of the lung for carbon monoxide was mildly reduced as well. This was interpreted as a restrictive ventilatory defect, although he carried a clinical diagnosis of COPD. Twenty years prior to presentation, he had pulmonary tuberculosis.

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