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Pulmonary and Critical Care Pearls |

The Insidious Onset of Dyspnea and Right Lung Collapse in a 35-Year-Old Man*

Syed F. Hussain, FRCP, FRCPE; Nawal Salahuddin, MBBS, FCCP; Aslam Khan, MBBS; Shafia S. J. Memon; Saulat H. Fatimi, MD; Rashida Ahmed, FCPS
Author and Funding Information

*From the Sections of Pulmonary Medicine (Drs. Hussain, Salahuddin, and Khan, and Ms. Memon) and Cardiothoracic Surgery (Dr. Fatimi), and Department of Pathology and Microbiology (Dr. Ahmed), The Aga Khan University Hospital, Karachi, Pakistan.

Correspondence to: Syed F. Hussain, FRCP, FRCPE, Head of Pulmonary Section and Associate Professor, Section of Pulmonary Medicine, The Aga Khan University Hospital, Stadium Rd, PO Box 3500, Karachi 74800, Pakistan; e-mail: fayyaz.hussain@aku.edu



Chest. 2005;127(5):1844-1847. doi:10.1378/chest.127.5.1844
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A 35-year-old man presented with 4-month history of cough, chest pain, and shortness of breath. There was no history of fever, hemoptysis, night sweats, weight loss, environmental/drug exposure, or foreign travel. He was a nonsmoker with no previous medical illness. Chest radiographic findings were reported as normal. He was treated with two courses of antibiotics and a cough suppressant. Over the next 2 months, his cough persisted and his weight decreased by 2 kg. A repeat chest radiograph showed partial collapse of right lower lobe. He was unable to produce sputum, and was started on empiric quadruple antituberculosis therapy. Just over 1 month later, central chest pain with worsening dyspnea developed. The chest radiograph now showed a complete collapse of the right lung. He was referred for further evaluation and management.

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