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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 35-Year-Old Man With Fever, Dyspnea, and Diffuse Reticular Opacities*

Chandra K. Katikireddy, MD; Ganesh Krishna, MD, FCCP; Todd Keifer, MD; Ware Kuschner, MD, FCCP; Glenn Rosen, MD
Author and Funding Information

*From the Division of Pulmonary and Critical Care and Department of Medicine, Stanford University Hospital; and Division of Pulmonary and Critical Care, VA Medical Center, Palo Alto, CA.

Correspondence to: Chandra K. Katikireddy, MD, Division of Pulmonary and Critical Care, Stanford University Hospital, Palo Alto, CA 94309; e-mail: Chandra.katikireddy@stanford.edu



Chest. 2006;129(2):482-487. doi:10.1378/chest.129.2.482
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A 35-year-old white man presented with fever, myalgias, and fatigue for 6 weeks. He also had dry cough and dyspnea with mild exertion. During the past few weeks, he received multiple courses of oral antibiotics without improvement for a diagnosis of pneumonia. He smoked 1 pack of cigarettes per day for 20 years. He smoked crystalline methamphetamine regularly for the past 5 years. His medical history was otherwise unremarkable. Occupational and family histories were noncontributory.

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