An HIV‐Positive Man with Cough, Fever, and Progressive Dyspnea: (Answer on pages 1231–2)

A patient with cough and progressive dyspnea

A 47-year-old man with HIV infection presented with progressive dyspnea and worsening productive cough for the past 3 weeks. He also reported increasingly purulent sputum production. The patient reported being adherent to his antiretroviral regimen, and he had an admission CD4+ cell count of 550/μL. He did not have any previous opportunistic infections, and he denied any drug or tobacco use, re...

A patient with dyspnea, cough, and fever.

Figure 1. A, Grocott methenamine silver (GMS) stain showing Pneumocystis organisms within a granuloma. Inset, digitally magnified Pneumocystis organism showing characteristic paired “dark bodies” diagnostic of Pneumocystis species. B, Immunohistochemical stain using antibodies directed against Pneumocystis species with use of the treptavidin-biotin immunoperoxidase method. The discreet nature o...

Muscle pain, fever, cough, and progressive dyspnea in a woman with eosinophilic pneumonia.

The diagnosis of eosinophilic pneumonia (EP) is rare and challenging. This condition is frequently misdiagnosed as pulmonary tuberculosis, lymphoma, schistosomiasis, Wegener's granuloma, severe acute respiratory syndrome, or severe community-acquired pneumonia. Herein, we report a case in which computed tomography (CT)-guided percutaneous lung biopsy was used to diagnose EP without alveolar eos...

Man with weight loss, fever, cough, and an abnormal spleen .

A 54 -Year-Old Man with Cough and Dyspnea

A 54-year-old male, farmer with a history of dyspnea from 10 years ago, developed increased sputum production, coughing and bloodstreaked sputum and hospitalized for further investigations. He was a current smoker (17pack/year) and oral opium addict. Spirometry revealed severe airflow obstruction with FVC: 45%, FEV1: 31%, and FEV1/FVC: 51%. Considering cheat x-ray findings, the patient underwen...