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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 60-Year-Old Woman With Cough, Fever, and Upper-Lobe Cavitary Consolidation*

Shigenori Hoshino, MD, PhD; Isao Tachibana, MD, PhD; Takashi Kijima, MD, PhD; Mitsuhiro Yoshida, MD, PhD; Toru Kumagai, MD, PhD; Tadashi Osaki, MD, PhD; Katsuhiko Kamei, MD, PhD; Ichiro Kawase, MD, PhD
Author and Funding Information

*From the Department of Respiratory Medicine, Allergy and Rheumatic Diseases, Osaka University Graduate School of Medicine (Drs. Hoshino, Tachibana, Kijima, Yoshida, Kumagai, Osaki, and Kawase), Osaka; and Research Center for Pathogenic Fungi and Microbial Toxicoses, Chiba University (Dr. Kamei), Chiba, Japan.

Correspondence to: Isao Tachibana, MD, PhD, Department of Respiratory Medicine, Allergy and Rheumatic Diseases, Osaka University Graduate School of Medicine, 2–2 Yamada-oka, Suita, Osaka 565-0871, Japan; e-mail: itachi02@imed3.med.osaka-u.ac.jp



Chest. 2007;132(2):708-710. doi:10.1378/chest.07-0023
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Extract

A 60-year-old woman presenting with cough and fever for 8 days was referred as an inpatient because a chest radiograph obtained at another hospital revealed consolidation in the right upper lung suggestive of pneumonia. The patient had a medical history of pulmonary tuberculosis and nephritis. At the age of 49 years, a smoldering form of adult T-cell leukemia was diagnosed; and due to an increase in WBC count, she was treated with oral cyclophosphamide for 3 years. Thereafter, she had been in stable condition and followed up by careful observation at a hematology clinic. Four years previously, she had been hospitalized for 2 weeks and treated with aciclovir for herpes zoster.

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Topics

cough ; fever ; lung

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