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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 54-Year-Old Man With a Rash and Pulmonary Infiltrates

Kevin Lawrence, MD; Ramsey Hachem, MD; Tanya M. Wildes, MD; Maria Canizares, MD
Author and Funding Information

*From the Departments of Medicine (Drs. Lawrence, Hachem, and Wildes) and Dermatology (Dr. Canizares), Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO.

Correspondence to: Kevin Lawrence, MD, Washington University School of Medicine, 660 S Euclid Campus Box 8052, St. Louis, MO 63110; e-mail: klawrenc@im.wustl.edu


The authors declare no financial or other potential conflicts of interest concerning this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2008;134(6):1340-1343. doi:10.1378/chest.08-0744
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Extract

A 54-year-old man with a history of hypertension and cervical spinal fusion presented to a community hospital for evaluation of fever (> 38°C), chills, and a nonproductive cough. He was hospitalized and treated for community- acquired pneumonia given his clinical presentation. Over the next 2 days, a diffuse rash developed and antibiotic therapy was changed; however, the rash did not improve and the pulmonary symptoms worsened. The patient was transferred to our hospital for further evaluation.

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