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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 36-Year-Old Woman With Cough, Positive Purified Protein Derivative Tuberculin Skin Test, and Cavitary Upper Lobe Consolidation

Venktesh R. Ramnath, MD; Rebecca A. Osgood, MD
Author and Funding Information

From the Department of Pulmonary and Critical Care (Dr Ramnath) and the Department of Pathology (Dr Osgood), Cambridge Health Alliance, Cambridge, MA; and Harvard Medical School (Drs Ramnath and Osgood), Boston, MA.

Correspondence to: Venktesh R. Ramnath, MD, Harvard Medical School, 25 Shattuck St, Boston, MA, 02115; e-mail: vramnath@challiance.org or venktesh.ramnath@gmail.com


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


© 2010 American College of Chest Physicians


Chest. 2010;137(4):994-998. doi:10.1378/chest.09-1557
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Extract

A 36-year-old woman was referred to the pulmonary clinic for a persistent cough and a worsening abnormality on chest radiography over 4 years. The patient had emigrated from China approximately 20 years prior; during application for permanent residency in the United States, her purified protein derivative tuberculin skin test converted to positive, leading to chest imaging that revealed a left upper lobe opacity (Fig 1). The patient was completely asymptomatic at that time. Bronchoscopy done at that time without a biopsy was negative for acid-fast or other organisms.

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