Abstract
A 61-year-old man presented with 3 weeks of shortness of breath and cough productive of occasional brown sputum. His medical comorbidities included Crohn colitis, deep vein thrombosis and pulmonary embolism on chronic anticoagulation, obstructive sleep apnea, obesity, impaired fasting glucose, depression, and latent tuberculosis status post 9 months of isoniazid. For the past year, his Crohn disease treatment regimen included methotrexate, and he received his first dose of ustekinumab 6 weeks before presentation.
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