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Pulmonary and Critical Care Pearls |

A 38-Year-Old Man With HIV Infection and Subacute Onset of Cough and Dyspnea*

Nawar Najjar, MD; Amr El Gamal, MD; Sahar Halabi, MD; Vadim Leyenson, MD
Author and Funding Information

*From the Department of Internal Medicine, St. Joseph Hospital, Chicago, IL.

Correspondence to: Amr El Gamal, MD, Department of Internal Medicine, St. Joseph Hospital, 2900 N Lake Shore Dr, Chicago, IL 60657; e-mail: gamalamr@yahoo.com



Chest. 2005;128(6):4008-4012. doi:10.1378/chest.128.6.4008
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A 38-year-old man with known HIV infection diagnosed 4 years prior to hospital admission presented with cough and clear sputum production of 10 weeks in duration. He received a 5-day course of levofloxacin with no significant improvement of his symptoms. Six weeks prior to hospital admission, he began to complain of fatigue and dyspnea on exertion. This became progressively worse over the last few days. He also noted to have a fever of 38.3°C. He has never been treated for HIV infection. He stopped smoking 2 years ago, after accumulating a 5-pack-year smoking history.

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