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Pulmonary, Critical Care, and Sleep Pearls |

A 54-Year-Old Man With Lingual Granuloma and Multiple Pulmonary Excavated Nodules

Julien Dang, MD; Noémie Chanson, MD; Caroline Charlier, MD, PhD; Christine Bonnal, PharmD; Gregory Jouvion, PhD; Tiphaine Goulenok, MD; Thomas Papo, MD; Karim Sacre, MD, PhD
Author and Funding Information

aUniversité Paris-Diderot, Assistance Publique Hôpitaux de Paris, Département de Médecine Interne, Hôpital Bichat-Claude Bernard, Paris, France

bUniversité Paris Descartes, Assistance Publique Hôpitaux de Paris, Département des Maladies Infectieuses et Tropicales, Hôpital Necker-Enfants malades, Paris, France

cUniversité Paris-Diderot, Assistance Publique Hôpitaux de Paris, Laboratoire de mycologie et de Parasitologie, Hôpital Bichat-Claude Bernard, Paris, France

dInstitut Pasteur, Unité d’Histopathologie Humaine et Modèles Animaux, Paris, France

eUnite INSERM U1149, Paris, France

CORRESPONDENCE TO: Karim Sacre, MD, PhD, Departement de Medecine Interne, Hôpital Bichat-Claude Bernard, 46 rue Henri Huchard, 75018 Paris, France


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


Chest. 2017;151(1):e13-e16. doi:10.1016/j.chest.2016.07.026
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A 54-year-old French man was admitted for evaluation of a chronic nodular lesion of the tongue and mandibular lymphadenopathy. He reported active tobacco and cannabis smoking as well as excessive alcohol use. He also reported frequent use of cocaine for several months and a past addiction to IV heroin. He had traveled abroad as a journalist and lived for several months in Columbia and Venezuela 12 years ago. His medical history included chronic hepatitis C infection successfully treated with interferon and ribavirin 6 years ago and high BP.

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