• Chest · Apr 2020

    Case Reports

    A 55-Year-Old Man With Cough and Hematochezia.

    • Carmen Kut and Bruce F Sabath.
    • Division of Pulmonary and Critical Care Medicine, Department of Medicine Grand Rounds, Greater Baltimore Medical Center, Baltimore, MD.
    • Chest. 2020 Apr 1; 157 (4): e121-e125.

    Case PresentationA 55-year-old man presented to the ED with a 3-week history of worsening cough and shortness of breath. He had blood-tinged sputum, fever, night sweats, and a 2.7 kg weight loss within the same period. For the past few days, he had taken amoxicillin-clavulanate for presumed sinusitis. Despite this, his symptoms persisted, prompting him to seek further evaluation. His medical history was significant for ulcerative colitis and he had some bloody diarrhea for the past few weeks. Medications included aspirin, mesalamine, multivitamins, folic acid, and herbal supplements including gingko biloba, ginseng, and turmeric-ginger. He never smoked and drank alcohol occasionally. Family history was notable for stroke and myocardial infarction.Copyright © 2019 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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