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A 58-year-old man was admitted to the hospital because of respiratory distress and hypotension.
Seven years before admission, a routine radiograph of the patient's chest had been reported to show a "black spot" in a lung. He declined follow-up examinations. Fifteen months before admission, he began to have a chronic cough productive of clear sputum, progressive exertional dyspnea, fatigue, and weight loss. Seven months before admission, he immigrated to the United States from a Caribbean island to be cared for by his daughters who resided in this country. Two weeks later, he came to this hospital.
The patient had been
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References
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