Case 12-2006 -- A 37-Year-Old Man with Hemoptysis and a Pulmonary Infiltrate

doi:10.1056/NEJMcpc069003

Volume 354:1729-1737		April 20, 2006		Number 16

Case 12-2006 — A 37-Year-Old Man with Hemoptysis and a Pulmonary Infiltrate

Fiona K. Gibbons, M.D., John A. Branda, M.D., and Jo-Anne O. Shepard, M.D.

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PubMed Citation

Presentation of Case

Dr. Michael D. Howell (Pulmonary and Critical Care Unit): A37-year-old man was seen in the pulmonary clinic of this hospitalbecause of blood-streaked sputum and an abnormal result on computedtomography (CT) of the chest.

The patient, who was a physician, had been well until six weeksearlier, when he began to have drenching night sweats approximatelytwice a week without fever. He had no other symptoms, exceptfor a decade-long morning cough, which he attributed to cigarettesmoking. Six days before his presentation at the clinic, henoticed a small amount of blood in the sputum produced by . . . [Full Text of this Article]

Differential Diagnosis

Night Sweats and Hemoptysis

Tuberculosis

Cancer

Differential Diagnosis According to Initial CT Findings

Differential Diagnosis According to Subsequent CT Findings

Clinical Diagnosis

Dr. Fiona K. Gibbons's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Pulmonary and Critical Care Unit (F.K.G.) and the Departments of Pathology (J.A.B.) and Radiology (J.O.S.), Massachusetts General Hospital; and the Departments of Medicine (F.K.G.), Pathology (J.A.B.), and Radiology (J.O.S.), Harvard Medical School.