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一位 31 岁男性,发热、非典型胸痛和纵隔肿块。

A 31-Year-Old Man With Fever, Atypical Chest Pain, and Mediastinal Mass.

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.

出版信息

Chest. 2022 May;161(5):e299-e304. doi: 10.1016/j.chest.2021.12.644.

DOI:10.1016/j.chest.2021.12.644
PMID:35526900
Abstract

A 31-year-old Asian male never-smoker living in the upper Midwest with a past medical history of congenital bilateral hearing loss sought treatment with a 1-week history of fever, fatigue, right-sided pleuritic chest pain, shortness of breath, productive cough with mild intermittent hemoptysis, night sweats, and unintentional 10-lb weight loss over 4 weeks. He was adopted from South Korea as an infant, and thus the family history was unknown. He worked in the heating, ventilation, and air conditioning business, performing installations and repairs. There was no known exposure to animals, caves, rivers, lakes, or wooded areas. He travelled to South Korea and New Hampshire approximately 9 months previously. He did not take any medication.

摘要

一位 31 岁的亚裔男性,从不吸烟,居住在上中西部地区,既往病史为先天性双侧听力丧失。他因发热、乏力、右侧胸膜炎性胸痛、呼吸急促、咳嗽有痰伴轻度间歇性咯血、盗汗和 4 周内体重意外减轻 10 磅,于 1 周前来就诊。他在婴儿时期被从韩国收养,因此家族史不详。他从事暖气、通风和空调业务,从事安装和维修工作。没有已知的动物、洞穴、河流、湖泊或林地接触史。大约 9 个月前他去过韩国和新罕布什尔州。他没有服用任何药物。

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