Kyriakopoulos C, Gogali A, Tatsis K, Anagnostopoulos N, Stratakos G, Kostikas K. A 68-year-old man with haemoptysis and extensive ipsilateral lung infiltrates.
Breathe (Sheff) 2021;
17:200229. [PMID:
34295390 PMCID:
PMC8291913 DOI:
10.1183/20734735.0229-2020]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Accepted: 03/12/2021] [Indexed: 12/03/2022] Open
Abstract
A 68-year-old male presented to the emergency department with a 24-h history of haemoptysis and fever. The patient also reported a productive cough for 5 years. He was a current smoker (smoking history of 80 pack-years) with an otherwise unremarkable past medical history. On examination, his respiratory rate was 24 breaths per min, heart rate was 120 beats per min, temperature 39.2°C and his oxyhaemoglobin saturation was 98% in room air. On auscultation, breath sounds were reduced and end-expiratory crackles were heard over the left lung. Physical examination was otherwise normal. Blood tests showed: white blood cells 14 500 cells·μL−1 (neutrophils 12 000 cells·μL−1, lymphocytes 1900 cells·μL−1), haemoglobin 13.9 g·dL−1, platelets 256 000 μL−1, C-reactive protein (CRP) 128 mg·L−1, erythrocyte sedimentation rate 90 mm·h−1, normal electrolytes, urea 45 mg·dL−1 and creatinine 1.22 mg·dL−1.
Can you diagnose this 68-year-old male with 24-h history of haemoptysis, 5-year history of productive cough and ipsilateral lung infiltrates?https://bit.ly/3tyhANB
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