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Pulmonary and Critical Care Pearls |

Persistent Lung Infiltrates in an Immunocompetent 25-Year-Old Woman*

Hector E. Mateo, MD; Nelson M. Gantz, MD
Author and Funding Information

*From the Department of Pulmonary and Critical Care Medicine (Dr. Mateo), Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA; and Division of Infectious Diseases (Dr. Gantz), PinnacleHealth System, Harrisburg, PA.

Correspondence to: Hector E. Mateo, MD, Pulmonary and Critical Care Medicine, Department of Internal Medicine, Virginia Commonwealth University, PO Box 980050, Richmond, VA 23298; e-mail: h.mateo@excite.com



Chest. 2002;122(5):1848-1851. doi:10.1378/chest.122.5.1848
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A 25-year-old African-American woman presented to the ambulatory clinic with nonproductive cough, fever, and weight loss. A tuberculin skin test result was negative, and chest radiography showed a right upper lobe infiltrate (Fig 1 ). She was the mother of two children, and she had been in a monogamous relationship for the past 2 years. She denied the use of tobacco or illicit drugs, and reported having a negative HIV test result 1 year before. She reported a 1-week trip to rural southeastern Virginia 2 months before the onset of symptoms.

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