The missing link

摘要

PRESENTATION:In this case, an extensive evaluation of a patient with chest symptoms identified an unusual etiology amenable to a simple treatment.A 40-year-old man presented to our clinic in Bengalum, India, because of 15 days of fever, breathlessness, and worsening productive cough. He had been treated for repeated episodes of productive cough with intermittent neb-, ulization and expectorants since childhood. Over the 5 years prior to presentation, the cough had become persistent, with expectoration of about 50 mL of mucopuralent sputum per day. Worsening breathlessness during level walking had developed over the past 2 years.