• Chest · May 2021

    Case Reports

    An 84-Year-Old Physician With Progressive Dyspnea and Bilateral Upper Lobe Opacities.

    • Zachary M Harris and Danielle Antin-Ozerkis.
    • Department of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, New Haven, CT. Electronic address: zachary.harris@yale.edu.
    • Chest. 2021 May 1; 159 (5): e325-e329.

    Case PresentationAn 84-year-old physician was seen in the pulmonary clinic with 10 days of progressive exertional dyspnea, night sweats, and dry cough. For the past 5 months, he had been taking ibuprofen for lumbar radiculopathy from spinal stenosis. Ten days earlier, ibuprofen was switched to naproxen 250 mg twice daily because of its longer half-life. He denied fever, weight loss, rash, dysphagia, proximal muscle weakness, wheeze, sinus congestion, and peripheral numbness/tingling. Medical history included paroxysmal atrial fibrillation, hypertension, Hashimoto's thyroiditis, and OSA. Long-term medications included aspirin, flecainide, atorvastatin, amlodipine, levothyroxine, and candesartan. He was a lifelong nonsmoker. There was no history of recent travel.Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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