May 2015 pulmonary case of the month: pneumonia with a rash

Southwest Journal of Pulmonary and Critical Care

Robbins RA¹ 

[1] Phoenix Pulmonary and Critical Care Research and Education Foundation, Gilbert, AZ USA;

关键词: Valley fever;    coccidioidomycosis;    coccidioides;    erythema nodosum;    rash;    treatment;    pneumonia;    fluconazole;    Arizona;    CT scan;   

DOI  :  10.13175/swjpcc044-15

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated at 150 words. History of Present Illness: A 77-year-old man underwent a thoracic CT scanfor follow up of a known thoracic aneurysm.However, he had been feeling tired for about a week with a cough, night sweats and fever. He had no shortness of breath, wheezing or known history of lung disease. Past Medical History, Social History and Family History: He has a history of hypertension and a known thoracic aortic aneurysm. There was asurgical repair of his right clavicle after a motor vehicle accident. He is single and has lived in Arizona for over 50 years. He just returned from a trip to California where he visited Disneyland. He does not smoke. Family history is noncontributory. Current Medications: dutasteride, levothyroxine, atorvastatin. Physical Examination: His physical examination was reported as unremarkable. SpO2 was 95% on room air. Which of the following is appropriate at this time? 1. Begin empiric antibiotics;2. ...

【 授权许可】

Unknown