Halpenny Darragh, Suh James, Garofano Suzette, Alpert Jeffrey
Department of Thoracic Radiology (Drs Halpenny and Alpert), New York University Langone Medical Center, New York, NY; Department of Pathology, New York University Langone Medical Center, New York, NY; Department of Pulmonology, New York University Langone Medical Center, New York, NY.
Department of Thoracic Radiology (Drs Halpenny and Alpert), New York University Langone Medical Center, New York, NY; Department of Pathology, New York University Langone Medical Center, New York, NY; Department of Pulmonology, New York University Langone Medical Center, New York, NY.
Chest. 2015 Sep;148(3):e80-e85. doi: 10.1378/chest.14-2936.
A 29-year-old man presented with a 5-month history of worsening dry cough, exertional dyspnea, chest tightness, and palpitations. He had been treated by his primary care physician with trials of guaifenesin/codeine, azithromycin, albuterol, and omeprazole without improvement. He denied wheezing, fever, sweats, anorexia, joint pain, swelling, or rash. He had no past medical history. He denied a history of tobacco smoking or IV drug use. He kept no pets, worked as a manager in an office environment, and had no history of occupational inhalational exposure. He reported using aerosolized insect spray to eradicate bed bugs in his house shortly before the cough began but did not report any acute symptoms when using the spray.
一名29岁男性，有5个月干咳、劳力性呼吸困难、胸闷和心悸加重的病史。他的初级保健医生曾试用愈创甘油醚/可待因、阿奇霉素、沙丁胺醇和奥美拉唑治疗，但病情无改善。他否认有喘息、发热、盗汗、厌食、关节疼痛、肿胀或皮疹。他既往无病史。他否认有吸烟史或静脉吸毒史。他没有养宠物，在办公室环境中担任经理，无职业吸入暴露史。他报告说在咳嗽开始前不久在家中使用雾化杀虫剂消灭臭虫，但使用喷雾剂时未报告任何急性症状。
