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Postgraduate Education Corner: Chest Imaging and Pathology for Clinicians |

A 43-Year-Old Man With Persistent Fever and Sudden Shortness of BreathPersistent Fever and Dyspnea in 43-Year-Old Man

Giovanni Leuzzi, MD; Alfredo Cesario, MD; Filippo Lococo, MD; Riccardo Inchingolo, MD; Gianluigi Petrone, MD; Frediano Inzani, MD; Maria Teresa Congedo, MD; Giuseppe Maria Corbo, MD; Salvatore Valente, PhD; Pierluigi Granone, PhD
Author and Funding Information

From the Department of Thoracic Surgery (Drs Leuzzi, Cesario, Congedo, and Granone), Department of Pulmonary Medicine (Drs Inchingolo, Corbo, and Valente), Department of Pathology (Drs Petrone and Inzani), Catholic University, Rome; IRCCS San Raffaele Pisana (Dr Cesario), Rome; and Department of Thoracic Surgery (Dr Lococo), Arcispedale Santa Maria Nuova, IRCCS Reggio Emilia, Reggio Emilia, Italy.

Correspondence to: Giovanni Leuzzi, MD, Department of Thoracic Surgery, Catholic University, Largo F. Vito, 1, Rome, Italy, 00135; e-mail: gio.leuzzi@yahoo.it


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(3):1066-1071. doi:10.1378/chest.12-2075
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A 43-year-old white man with a 3-week history of nonproductive cough, wheezing, and chest pain was treated with a standard regimen of oral antibiotics in the primary care setting with little clinical improvement of symptoms and then was admitted to the ED of our hospital for acute onset of shortness of breath. He had an otherwise unremarkable medical history, with the exception of chest trauma 3 years prior to admission. He had a smoking history of 18 pack-years and had quit smoking 26 years prior to presentation. Working in a slaughterhouse for 15 years had given him a long occupational exposure to cattle.

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