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A 60-Year-Old Woman With Cough, Dyspnea, and Atelectasis 19 Years After Liver TransplantMucus Plugs 19 Years After Liver Transplantation

Tanmay S. Panchabhai, MD; Debabrata Bandyopadhyay, MD; Abdul Hamid Alraiyes, MD; Atul C. Mehta, MD, FCCP; Francisco A. Almeida, MD, FCCP
Author and Funding Information

From the Department of Pulmonary Medicine (Drs Panchabhai, Bandyopadhyay, Mehta, and Almeida), Respiratory Institute, Cleveland Clinic, Cleveland, OH; and the Department of Thoracic Oncology (Dr Alraiyes), Rosewell Park Cancer Institute, University of Buffalo, Buffalo, NY.

CORRESPONDENCE TO: Francisco A. Almeida, MD, FCCP, Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195; e-mail: almeidf@ccf.org


This case was presented as an oral presentation at CHEST 2014, October 25-30, 2014, Austin, TX.

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


Chest. 2015;148(4):e122-e125. doi:10.1378/chest.15-0388
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A 60-year-old black woman presented with nonproductive cough of 1-month duration. She had also experienced rapidly progressive dyspnea for 1 week and one bout of vomiting a day before presentation. Her symptoms had failed to improve with a course of amoxicillin-clavulanate. Her medical history was significant for diabetes mellitus and liver transplant 19 years earlier for hepatitis C cirrhosis, for which she was receiving tacrolimus and mycophenolate. She was a current smoker with 40 pack-years of smoking history.

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