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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 48-Year-Old Man Presenting With Night Sweats and Dyspnea*

G. Scott Warner, MD, FCCP; C. Allen Smith, MSN, CRNP
Author and Funding Information

*From the Department of Pulmonary and Critical Care Medicine, Cullman Regional Medical Center, Cullman, AL.

Correspondence to: G. Scott Warner, MD, FCCP, Cullman Regional Medical Center, Pulmonary/Critical Care, 1890 Alabama Hwy 157, Suite 420, Cullman, AL 35058; e-mail: swarner@prn-inc.net



Chest. 2008;134(2):434-437. doi:10.1378/chest.07-3000
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Extract

A 48-year-old nonsmoking man presented with 2 months of night sweats and an unintentional 15-lb weight loss. He endorsed the presence of mild dyspnea and wheezing. Cough was productive of scant white mucus without hemoptysis. The patient was referred from a local urgent care center where he had been treated for right middle lobe (RML) pneumonia over the last month with no improvement. He had no significant medical history and took no medications. The family history was notable for diabetes mellitus in his mother. He worked as a welder. Initial radiographs revealed RML atelectasis (Fig 1 ).

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