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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

An 18-Year-Old Woman With Fever, Diffuse Pulmonary Opacities, and Rapid Onset of Respiratory Failure*

Bobbak Vahid, MD; Paul E. Marik, MD, FCCP
Author and Funding Information

*From the Department of Pulmonary and Critical Care Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.

Correspondence to: Bobbak Vahid, MD, 1015 Chestnut St, Suite M-100, Philadelphia, PA 19107; e-mail: Bobbak.vahid@mail.tju.edu



Chest. 2006;130(6):1938-1941. doi:10.1378/chest.130.6.1938
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An 18-year-old woman presented to the emergency department with chest pain, dyspnea, and dry cough for 1 day. Dry cough was the initial symptom accompanied with fever and malaise. Approximately 12 h before presentation, shortness of breath developed. Dyspnea rapidly progressed; at the time of presentation, she was in respiratory distress. The patient also complained of diffuse chest pain at presentation. Her medical history was significant for Lyme disease at age 8 years. She denied using illicit drugs. The patient also had no exposure to animals and had no risk factors for HIV infection. She reported smoking a few cigarettes a day for several weeks before presentation. She was not taking any medications. Occupational exposure and family histories were noncontributory.

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