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A Hypotensive 22-Year-Old Man With Chest Pain, Cough, and an Abnormal Chest Radiograph

Nikolaos Anatoliotakis, MD*; Sian Chisholm, MD; Latonia Moncur, MD; Arpitha Ketty, MD; James Cury, MD
Author and Funding Information

*From the University of Florida School of Medicine, Jacksonville, FL.

Correspondence to: Nikolaos Anatoliotakis, MD, University of Florida School of Medicine, 653 W 8th St, 4th Floor LRC Building, Jacksonville, FL 32209; e-mail: anatolmd@email.com

The authors have no conflicts of interest to disclose.

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


The authors have no conflicts of interest to disclose.

The authors have no conflicts of interest to disclose.

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

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


Chest. 2009;135(1):228-232. doi:10.1378/chest.08-0752
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Extract

A 22-year-old Hispanic man presented to the emergency department with fever, chills, and headache of 5 days in duration accompanied by productive cough and hemoptysis for almost 2 days. He also admitted intermittent chest pain that was sharp in nature, nonradiating, and aggravated by swallowing. The patient had a negative medical history, but he reported night sweats for the past 2 weeks and a significant loss of appetite associated with weight loss. He was an immigrant from Mexico but had been in the United States for a year. There was no history of recent travel or sick contacts, and he denied prescribed or illicit drug use. He also denied any high-risk sexual behavior in the past year.

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