A 64-Year-Old Man With Progressive Dyspnea and Cough Productive of Copious Amounts of Clear Sputum

Abstract

A 64-year-old man was admitted for evaluation of progressive dyspnea and cough productive of copious amounts of clear sputum. About 3 months prior to presentation he had developed dyspnea and cough while traveling in Texas and Arizona. He was hospitalized and treated with antibiotics for presumed left lower lobe pneumonia. A diagnosis of left lower extremity DVT was also made, for which anticoagulation with warfarin was initiated. After discharge, he felt well for some days but subsequently noted recurrence of dyspnea and cough, along with fevers, prompting a second hospital admission.