Abstract
A 53-year-old male on haemodialysis presented with 1 month of right-sided pleuritic chest pain, low-grade fever and haemoptysis. He was on haemodialysis via arteriovenous fistula in the right forearm for 3 years. He had recently completed interferon treatment for chronic hepatitis C. He had a 30-pack-year smoking history. Medications at presentation included moxifloxacin for presumed pneumonia. Examination revealed sternal tenderness, decreased breath sounds at the right lung base and pedal oedema. He remained afebrile throughout his stay. Labwork showed microcytic anaemia (Hb 11 gm/dl), leucocytosis with significant neutrophilia
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