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Computed tomography of the chest. (A) Before treatment, with right pulmonary infiltrates. (B) After 1 year of itraconazole, with marked improvement.

Sickle Cough: A Case of Nonresolving Pneumonia

A 26-year-old female graduate student with sickle-cell disease presented with fever, dyspnea, and right shoulder pain. Computed tomography of the chest demonstrated right middle and lower lobe infiltrates (Figure, A). She was diagnosed with pneumonia, acute chest syndrome, and vaso-occlusive crisis and prescribed 5 days of amoxicillin-clavulanic acid.   She was readmitted 1 month later […]

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Chest computed tomography showing extensive bilateral patchy air space infiltrates and ground-glass changes.

The Missing Antibody: The Pitfalls of ANCA Testing

A 44-year-old white woman presented to the hospital with acute shortness of breath while on a flight back to England from a holiday in Turkey. She denied having a productive cough, hemoptysis, or chest or calf pain. She was asthmatic, and her symptoms were improved by repeated administration of her salbutamol inhaler during the flight. […]

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Chest x-ray image at the time of presentation to the hospital (A) and after corticosteroid therapy (C). Chest computed tomography scan at the time of presentation to the hospital (B). Representative image of cytologic findings of bronchoalveolar lavage fluid (D) (hematoxylin–eosin ×400).

Menthol-Flavored Cigarettes: Potentially a Strong Trigger of Acute Eosinophilic Pneumonia

Menthol-flavored cigarettes recently have received significant attention. Lower quit rates and higher relapse rates of smoking in people who smoke menthol-flavored cigarettes have been demonstrated.1 Additional disadvantages of menthol cigarettes also might exist. We present a lesson learned from a case we experienced: Menthol cigarette smoking might be a stronger trigger of acute eosinophilic pneumonia compared […]

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healthy lungs in clean air

Pneumococcal Meningitis and Endocarditis: A Case Report

A 52-year-old man, with a history of active smoking and alcohol abuse, was admitted to hospital for a febrile coma. He had complained of headaches with fever and chills for a few days before admission. Behavioral disorders and seizures were observed. The clinical examination revealed bilateral miosis and a stiff neck. Status epilepticus required intubation […]

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