• Dimitrios Papadopoulos, Alexandra Nakou, Konstantinos Lymperopoulos, and Vasiliki Filaditaki.
• 2nd Pulmonary Department, "Sismanoglio" General Hospital of Attica, Marousi, Greece. Electronic address: d.g.papadopoulos@gmail.com.
• Chest. 2018 Oct 1; 154 (4): e101-e105.

Case PresentationA 38-year-old man of Indian origin, who migrated to Greece 13 years prior to presentation, was admitted to our hospital with a 2-month history of nonprogressive, intermittent (mostly evening), low-grade (up to 38.5°C) fever, accompanied by night sweats, dry cough, mild dyspnea on exertion (modified Medical Research Council Dyspnea Scale grade 1), anorexia, fatigue, and weight loss of 10 kg. He also experienced continuous palpitations, which were regular, not associated with chest pain or dizziness, and aggravated on exertion. He had not taken any medication for his condition, except for antipyretic agents, nor had he sought medical advice. He was a nonsmoker, had a history of past alcohol dependence, and had been hospitalized twice for acute pancreatitis due to hypertriglyceridemia. He had also been diagnosed with diabetes mellitus, presumably poorly controlled because he mentioned not taking any medication or having regular follow-up.Copyright © 2018 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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