• Jonah Rubin, Michelle L Chiu, Mari Mino-Kenudson, Amita Sharma, Alison S Witkin, Peter P Moschovis, Yehuda Vogel, Kenneth Shelton, Jerome Crowley, and Yuval Raz.
• Division of Pulmonary and Critical Care Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA. Electronic address: jrubin5@mgh.harvard.edu.
• Chest. 2022 Feb 1; 161 (2): e111e116e111-e116.

AbstractA 19-year-old, previously healthy man presented with 3 days of cough, high-grade fevers (40 °C), and dyspnea. Apart from a resolved history of seizures not requiring medications, he had no medical or surgical history. He had no known drug allergies. He took montelukast for allergies and trimethoprim-sulfamethoxazole (TMP-SMX) for 2 weeks before admission for acne, but no other medications, including over-the-counter medications and supplements. He had animal exposures to a new puppy and a friend's bird. He had no history of smoking, vaping, or recreational drug use. His paternal grandmother had rheumatoid arthritis.Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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