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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

74-Year-Old Man From the Pacific Northwest With Fever and a Lung Mass

Laurel Garrett, MD; Kieren Marr, MD; Sarah West, MD; Gopal Allada, MD
Author and Funding Information

From the Department of Internal Medicine (Dr Garrett), The Division of Infectious Diseases (Dr West), and the Division of Pulmonary and Critical Care Medicine (Dr Allada), Oregon Health and Sciences University, Portland, OR; and the Department of Infectious Diseases (Dr Marr), Johns Hopkins University School of Medicine, Baltimore, MD.

Correspondence to: Gopal Allada, MD, Oregon Health and Sciences University, Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Mail Code UHN-67, 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3098; e-mail: alladag@ohsu.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(3):814-817. doi:10.1378/chest.10-2964
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Extract

A 74-year-old man was referred to the pulmonary clinic for a right upper lobe mass on CT scan. He initially presented to his primary care provider 6 months prior with subacute onset of shortness of breath, sinus pressure, and fatigue. He was given azithromycin and fluticasone/salmeterol for community-acquired pneumonia and asthma, respectively, with improvement. He returned to his primary care provider 5 months later, complaining of dyspnea on exertion, fever, chills, drenching night sweats, anorexia, pleuritic chest pain, and 20-pound weight loss over the previous 8 weeks. He was given moxifloxacin with no improvement. A chest radiograph revealed a right upper lobe mass confirmed on CT scan, which prompted the referral.

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