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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 335:1974-1982 December 26, 1996 Number 26
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Case 40-1996— A 58-Year-Old Man with Progressive Hypotension and Respiratory Failure after Treatment for Apparent Pulmonary Tuberculosis
Alexander C. White, and Eugene J. Mark

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Presentation of Case

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 . . . [Full Text of this Article]

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