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Pulmonary, Critical Care, and Sleep Pearls |

A 45-Year-Old Woman With 3 Weeks of Cough and Night Sweats

Than Htaik Kyaw, MD; Lacey Sullivan, MD; Ross C. Klingsberg, MD
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CORRESPONDENCE TO: Than Htaik Kyaw, MD, Department of Pulmonary and Critical Care, Tulane University School of Medicine, 1430 Tulane Ave, SL 9, New Orleans, LA 70112


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(3):e87-e90. doi:10.1016/j.chest.2015.08.014
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A 45-year-old woman who received a renal transplant 7 years prior presented with a 3-week history of low-grade fever, night sweats, and a dry cough with scant sputum production. Additionally, she reported generalized weakness and increased fatigability. She denied hemoptysis or weight loss, and there had been no change in medication or foreign travel. She had no history of latent tuberculosis or sick contacts. She had recently relocated to Baton Rouge, Louisiana. She was sexually active with her boyfriend who worked as a prison guard. She also reported that she was briefly incarcerated 7 years ago shortly after her renal transplantation. Her immunosuppression consisted of tacrolimus, mycophenolate, and prednisone.

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