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Chest Imaging and Pathology for Clinicians |

A 29-Year-Old Man With Nonproductive Cough, Exertional Dyspnea, and Chest Discomfort29-Year-Old Man With Nonproductive Cough

Darragh Halpenny, MD; James Suh, MD; Suzette Garofano, MD; Jeffrey Alpert, MD
Author and Funding Information

From the Department of Thoracic Radiology (Drs Halpenny and Alpert), the Department of Pathology (Dr Suh), and the Department of Pulmonology (Dr Garofano), New York University Langone Medical Center, New York, NY.

CORRESPONDENCE TO: Darragh Halpenny, MD, Department of Thoracic Radiology, New York University Langone Medical Center, 660 1st Ave, New York, NY 10016; e-mail: darraghhalpenny@hotmail.com


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


Chest. 2015;148(3):e80-e85. doi:10.1378/chest.14-2936
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A 29-year-old man presented with a 5-month history of worsening dry cough, exertional dyspnea, chest tightness, and palpitations. He had been treated by his primary care physician with trials of guaifenesin/codeine, azithromycin, albuterol, and omeprazole without improvement. He denied wheezing, fever, sweats, anorexia, joint pain, swelling, or rash. He had no past medical history. He denied a history of tobacco smoking or IV drug use. He kept no pets, worked as a manager in an office environment, and had no history of occupational inhalational exposure. He reported using aerosolized insect spray to eradicate bed bugs in his house shortly before the cough began but did not report any acute symptoms when using the spray.

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