Case 6-1996

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Abstract
Presentation of CaseA 40-year-old man was admitted to the hospital because of a persistent productive cough, dyspnea, and bilateral apical infiltrates.The patient had been well until two months earlier, when “tightness” developed in the chest, followed several days later by a cough productive of yellowish-to-dark-brown sputum, with increasing dyspnea.Thirty-four days before admission a small hemoptysis occurred. A beclomethasone inhaler, ofloxacin, lomefloxacin, and cefixime were prescribed in sequence, without benefit, although the cough was mildly improved with a promethazine–codeine preparation. An evaluation elsewhere showed that the hematocrit was 48.5 percent; the white-cell count was 7900 per cubic millimeter, . . .