A Man in His 20s With Cough, Unilateral Pleural Effusion, and Nodular Pleural Thickening.

Abstract:

CASE PRESENTATION:A man in his 20s presented to the ED after several months of progressive dyspnea, dry cough, and night sweats. He had no chest pain, fevers, weight loss, or sick contacts. He was previously healthy and took no medications. Social history was notable for 5 pack-years of tobacco use. The patient was sexually active with male partners and had a recent partner infected with human T-lymphotropic virus. The patient worked in set design and window installations, and wore a respirator when working around solvents and resins. From ages 2 to 7 years, he frequently visited buildings at his parents' workplace that were undergoing asbestos abatement. From ages 7 to 24 years, he frequently visited pottery studios where talc-containing products were used. He frequently visited northern Massachusetts, and infections with Borrelia burgdorferi and Bartonella henselae were common in family members. His stepfather had recently been infected with Anaplasma. There was no family history of cancer.

journal_name

Chest

journal_title

Chest

authors

Sonnick MA,Weisman S,Borczuk AC,Turetz ML

doi

10.1016/j.chest.2019.05.040

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

e121-e126

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(19)31316-9

journal_volume

156

pub_type

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