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Postgraduate Education Corner: Pulmonary, Critical Care, and Sleep Pearls |

A 39-Year-Old Male Slaughterhouse Worker With Recurrent Fever, Cough, and Shortness of BreathRecurrent Fever, Cough, and Dyspnea

Tashfeen Mahmood, MD; Khaled R. Khasawneh, MD, FCCP; Ruba A. Halloush, MD; Faisal A. Khasawneh, MD
Author and Funding Information

From the Department of Internal Medicine (Dr Mahmood), Deaconess Health System, Evansville, IN; Division of Pulmonary and Critical Care Medicine (Dr K. Khasawneh), University of Arkansas for Medical Sciences, Little Rock, AR; Amarillo Pathology Group, LLP (Dr Halloush), Amarillo, TX; and Section of Critical Care, Department of Internal Medicine (Dr F. Khasawneh), Texas Tech University Health Sciences Center, Amarillo, TX.

Correspondence to: Faisal A. Khasawneh, MD, Section of Critical Care Medicine, Department of Internal of Medicine, Texas Tech University Health Sciences Center, 1400 S Coulter St, Amarillo, TX 79106; e-mail: faisal.khasawneh@ttuhsc.edu


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


Chest. 2013;144(6):1959-1963. doi:10.1378/chest.13-1153
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A 39-year-old Hispanic man was admitted for the third time with a few days’ history of fever, shortness of breath, cough, and hemoptysis. The patient’s initial presentation was 5 weeks earlier. At that time, he was diagnosed with community-acquired pneumonia and was discharged on oral moxifloxacin. He was admitted again 3 weeks prior to this current admission for the same symptoms. He was diagnosed with health-care-associated pneumonia and treated accordingly. During that admission, TB and HIV infections were ruled out. His medical history was negative, and he had no history of smoking. The patient was born in Mexico and immigrated to the United States 18 years ago. He worked at a local slaughterhouse for 10 years. He had no contact with live cattle; the animals were slaughtered, skinned, and washed with treated water before arriving at his workstation where he cut out parts to be packed. None of his family members had similar symptoms. Every time, his complaints resolved promptly after hospitalization to recur once he went back to work. Some of his coworkers complained of eye irritation and cough but none became as sick.

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