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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 42-Year-Old Woman With Diffuse Pulmonary Infiltrates and Bilateral PneumothoracesPulmonary Infiltrates and Bilateral Pneumothoraces

Ninotchka L. Sigua, MD; Oscar Cummings, MD; Tim Lahm, MD
Author and Funding Information

From the Division of Pulmonary, Critical Care, Allergy and Occupational Medicine (Drs Sigua and Lahm), and Department of Pathology and Laboratory Medicine (Dr Cummings), Indiana University; and Richard L. Roudebush VA Medical Center (Dr Lahm), Indianapolis, IN.

Correspondence to: Ninotchka L. Sigua, MD, Division of Pulmonary, Critical Care, Allergy and Occupational Medicine, Indiana University, 550 N University Blvd, Ste 4903, Indianapolis, IN 46202; e-mail: nsigua@iupui.edu


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


© 2011 American College of Chest Physicians


Chest. 2011;140(2):550-553. doi:10.1378/chest.10-3116
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Extract

A 42-year-old Hispanic woman was admitted to the hospital for progressive exertional dyspnea and nonproductive cough for 6 months. She reported worsening symptoms over 2 weeks that had not responded to outpatient treatment of community-acquired pneumonia. She denied fevers, chest pain, hemoptysis, and weight loss. She was an active smoker, with a 9-pack-year history of tobacco use. She was originally from Puerto Rico but had lived in the United States for the past 17 years. She denied any recent travel or exposure to TB. Her medical history included resolved polyarthritis of her hand joints a year prior to presentation. Surgical and family histories were otherwise unremarkable.

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