Abstract
A 30-year-old previously healthy Hispanic man presented to the emergency department with a 3-day history of fever (temperature to 39.3° C), nonproductive cough, and left pleuritic chest pain. He denied smoking, intravenous drug use, or tuberculosis. He drank beer daily. His father had been diagnosed with pulmonary tuberculosis 6 years previously, but the patient had never been skin-tested or given tuberculosis chemoprophylaxis. He had been born in, and had not traveled outside, Los Angeles.
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