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3741. A 22-Month-Old Girl With 3 Weeks of Dyspnea.
作者: John T Kennedy.;Katherine T Braley.;Peter D Wearden.;Jennifer S Nelson.
来源: Chest. 2020年158卷3期e107-e110页
A previously healthy 22-month-old girl presented to the ED with a 3-week history of dyspnea on exertion. A chest radiograph showed a right upper-lobe opacity suspicious for pneumonia (Fig 1A). The patient was prescribed amoxicillin but returned to the ED 7 days later with cough and persistent dyspnea and tachypnea. At that time, a repeat chest radiograph was concerning for worsening pneumonia (Fig 1B). Treatment with azithromycin and albuterol was initiated, and amoxicillin was discontinued. Her symptoms briefly improved; however, she returned to the ED 10 days later because of worsening cough and tachypnea, and a 2-day history of increased irritability, decreased oral intake, decreased urine output, and intermittent perioral cyanosis. She was afebrile throughout this period per parent report and vital sign documentation at each ED visit.
3742. A 35-Year-Old Woman With Progressive Dyspnea and Cough.
作者: Daniel L Dodge.;Sujith V Cherian.;Yasir D Ali.;Albina Murzabdillaeva.;Zhihong Hu.;Rosa M Estrada-Y-Martin.
来源: Chest. 2020年158卷3期e103-e106页
A 35-year-old woman with no known medical history presented to the ED with complaints of progressive dyspnea for several months. The patient also reported episodic cough with yellow to green sputum production. She denied fever, chills, weight loss, or hemoptysis. She also denied any history of previous lung diseases in her family. She denied any history of tobacco or recreational drug use or any exposures. She was originally from El Salvador and immigrated to the United States approximately 3 years earlier. She was evaluated in El Salvador at age 15 for "lung issues" but had never received a formal diagnosis.
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