A Growing Problem -- A 36-year-old pregnant woman at 21 weeks of gestation presented with a 4-week history of a dry, nonproductive cough

doi:10.1056/NEJMcps064251

Volume 357:489-494		August 2, 2007		Number 5

A Growing Problem — A 36-year-old pregnant woman at 21 weeks of gestation presented with a 4-week history of a dry, nonproductive cough

Wendy W. Yeh, M.D., Sanjay Saint, M.D., M.P.H., and Steven E. Weinberger, M.D.

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In this Journal feature, information about a real patient ispresented in stages (boldface type) to an expert clinician,who responds to the information, sharing his or her reasoningwith the reader (regular type). The authors' commentary follows.

A 36-year-old pregnant woman at 21 weeks of gestation presentedwith a 4-week history of a dry, nonproductive cough.

Acute onset of cough in the patient's age group is most commonlydue to a respiratory tract infection, typically viral. However,in the absence of other clinical findings suggesting an infectiouscause, the most common causes of cough are postnasal drip (alsocalled . . . [Full Text of this Article]

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From the Brigham and Women's Hospital, Boston (W.W.Y.); the Ann Arbor Veterans Affairs Medical Center and the Department of Internal Medicine, University of Michigan Medical School — both in Ann Arbor (S.S.); and the American College of Physicians, Philadelphia (S.E.W.).

Address reprint requests to Dr. Yeh at Brigham and Women's Hospital, Division of Infectious Diseases, PBB-4, 75 Francis St., Boston, MA 02115, or at wyeh@partners.org.