Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH.
Department of Thoracic Oncology, Rosewell Park Cancer Institute, University of Buffalo, Buffalo, NY.
Chest. 2015 Oct;148(4):e122-e125. doi: 10.1378/chest.15-0388.
A 60-year-old black woman presented with nonproductive cough of 1-month duration. She had also experienced rapidly progressive dyspnea for 1 week and one bout of vomiting a day before presentation. Her symptoms had failed to improve with a course of amoxicillin-clavulanate. Her medical history was significant for diabetes mellitus and liver transplant 19 years earlier for hepatitis C cirrhosis, for which she was receiving tacrolimus and mycophenolate. She was a current smoker with 40 pack-years of smoking history.
一位 60 岁的黑人女性因无痰咳嗽持续 1 个月就诊。她还在 1 周前出现了进行性呼吸困难，并在就诊前 1 天呕吐 1 天。她的症状在使用阿莫西林克拉维酸钾治疗后没有改善。她的病史还包括 19 年前因丙型肝炎肝硬化接受了肝移植，目前正在接受他克莫司和霉酚酸酯治疗。她是一名当前吸烟者，有 40 年的吸烟史。
