Department of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, New Haven, CT.
Department of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, New Haven, CT.
Chest. 2021 May;159(5):e325-e329. doi: 10.1016/j.chest.2020.12.035.
An 84-year-old physician was seen in the pulmonary clinic with 10 days of progressive exertional dyspnea, night sweats, and dry cough. For the past 5 months, he had been taking ibuprofen for lumbar radiculopathy from spinal stenosis. Ten days earlier, ibuprofen was switched to naproxen 250 mg twice daily because of its longer half-life. He denied fever, weight loss, rash, dysphagia, proximal muscle weakness, wheeze, sinus congestion, and peripheral numbness/tingling. Medical history included paroxysmal atrial fibrillation, hypertension, Hashimoto's thyroiditis, and OSA. Long-term medications included aspirin, flecainide, atorvastatin, amlodipine, levothyroxine, and candesartan. He was a lifelong nonsmoker. There was no history of recent travel.
一位 84 岁的医生因进行性劳力性呼吸困难、盗汗和干咳就诊于呼吸科。在过去的 5 个月中，他因脊柱狭窄引起的腰椎神经根病一直服用布洛芬。10 天前，由于布洛芬的半衰期较长，将其更换为萘普生 250mg，每日两次。他否认发热、体重减轻、皮疹、吞咽困难、近端肌无力、喘息、鼻窦充血和周围麻木/刺痛。既往病史包括阵发性心房颤动、高血压、桥本甲状腺炎和 OSA。长期服用的药物包括阿司匹林、氟卡尼、阿托伐他汀、氨氯地平、左甲状腺素和坎地沙坦。他是一个终身不吸烟者。没有近期旅行史。
