Chapter

Case 7

John Stradling, Andrew Stanton, Najib Rahman, Annabel Nickol and Helen Davies

in Oxford Case Histories in Respiratory Medicine

Published on behalf of Oxford University Press

Published in print July 2010 | ISBN: 9780199556373
Published online November 2012 | e-ISBN: 9780191753299 | DOI: http://dx.doi.org/10.1093/med/9780199556373.003.07

Series: Oxford Case Histories

Case 7

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A 32-year-old American woman was referred for investigation of left-sided subcostal pleuritic chest pain. Four months earlier she had been treated for left lower lobe pneumonia (radiologically confirmed) requiring two courses of antibiotics (amoxicillin and erythromycin). After this illness the chest pain persisted, and she felt ‘tired and drained’. She also reported an intermittent cough, productive of small amounts of ‘off-white’ sputum, but denied other respiratory symptoms. She had had no haemoptysis, fevers or sweats, anorexia or weight loss. She had a history of a left-sided pneumonia aged 8, and of being ‘chesty’ until 13; otherwise she had been well. She had never smoked, and seldom drank alcohol. There were no abnormal physical signs. Her CXRs are shown in Fig. 7.1a and b.

Chapter.  1201 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology

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