AI Article Synopsis
- A 71-year-old former bus driver, with a history of smoking and various health issues, was admitted to the respiratory department due to a chronic dry cough and worsening shortness of breath that developed over the past 8 years.
- He has experienced significant weight loss and muscle weakness, has a previous diagnosis of gastric adenocarcinoma treated with surgery and chemotherapy, and has a coronary disease history.
- The patient has undergone numerous diagnostic tests, including multiple imaging scans and biopsies, all yielding inconclusive results, prompting the hospital visit for further diagnosis and treatment of his long-standing respiratory issues.
Article Abstract
A 71-year-old ex-bus driver (ex-smoker, 20 pack-years) was admitted for the first time to the respiratory department because of chronic dry cough and progressive exertional dyspnea with insidious onset 8 years ago. The patient also reported weight loss of about 20 kg in 3 years and proximal muscle weakness. A decade ago, he was diagnosed with gastric adenocarcinoma and subjected to partial gastrectomy and splenectomy, followed by an unspecified chemotherapy regimen. Additionally, the patient has coronary disease and underwent coronary bypass graft surgery 7 years ago. In the course of his disease, many diagnostic procedures have been performed including Mantoux tests, five CT scans, a CT-guided biopsy, two bronchoscopies, and an 18F-fluorodeoxyglucose PET scan with inconclusive results. The patient was referred to the hospital to have his long-lasting condition diagnosed and treated.
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| http://dx.doi.org/10.1016/j.chest.2020.02.003 | DOI Listing |
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