• Harpreet Singh, Bryan S Benn, Chinmay T Jani, Mohammad Abdalla, Thomas S Fredeen, and Jonathan S Kurman.
• Division of Pulmonary and Critical Care Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI. Electronic address: hasingh@mcw.edu.
• Chest. 2022 May 1; 161 (5): e299-e304.

Case PresentationA 31-year-old Asian male never-smoker living in the upper Midwest with a past medical history of congenital bilateral hearing loss sought treatment with a 1-week history of fever, fatigue, right-sided pleuritic chest pain, shortness of breath, productive cough with mild intermittent hemoptysis, night sweats, and unintentional 10-lb weight loss over 4 weeks. He was adopted from South Korea as an infant, and thus the family history was unknown. He worked in the heating, ventilation, and air conditioning business, performing installations and repairs. There was no known exposure to animals, caves, rivers, lakes, or wooded areas. He travelled to South Korea and New Hampshire approximately 9 months previously. He did not take any medication.Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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