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A 41-year-old man was admitted to the hospital because of shortness of breath and fever. He had been well until 7 months earlier, when a rash and wheezing developed after he had eaten shellfish. He was seen in the emergency room of another hospital and treated for an allergic reaction; his symptoms improved.
Eighteen days later, cough and shortness of breath developed, and he returned to the same emergency room. Laboratory-test results are shown in Table 1 and Table 2. A chest radiograph was normal. Albuterol and clarithromycin were administered, and he was discharged. One week later, temperatures ranging
Differential Diagnosis
Dr. David T. Scadden's Diagnoses
Pathological Discussion
Discussion of Management
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Departments of Hematology–Oncology (D.T.S.), Radiology (V.V.M.), and Pathology (R.P.H.), Massachusetts General Hospital; and the Departments of Medicine (D.T.S.), Radiology (V.V.M.), and Pathology (R.P.H.), Harvard Medical School.
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