Case 36-2009 -- A 23-Year-Old Man with Cough, Hoarseness, and Abnormalities on Chest Imaging

doi:10.1056/NEJMcpc0907804

Volume 361:2080-2087		November 19, 2009		Number 21

Case 36-2009 — A 23-Year-Old Man with Cough, Hoarseness, and Abnormalities on Chest Imaging

Edwin Choy, M.D., Ph.D., Subba R. Digumarthy, M.D., and Stephanie A. Koplin, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

Dr. David T. Ting (Medical Oncology): A 23-year-old man wastransferred to this hospital because of cough, hoarseness, fever,and abnormalities on chest imaging.

The patient had been well until 1 month before admission, whena nonproductive cough developed. During the following month,subjective fevers occurred, most often at night with no sweats;he did not take his temperature. One week before admission,hoarseness developed, associated with myalgias and dyspnea onexertion. Two nights before admission, the temperature roseto 38.9°C and was associated with night sweats. The nextmorning, he saw his primary care provider. He reported no headache,. . . [Full Text of this Article]

Differential Diagnosis

Malignant Tumors

Dr. Edwin Choy's Diagnosis

Pathological Discussion

Discussion of Management

Confirming the Diagnosis

Staging

Treatment

Anatomical Diagnosis

Source Information

From the Division of Medical Oncology, Department of Medicine (E.C.), and the Departments of Radiology (S.R.D.) and Pathology (S.A.K.), Massachusetts General Hospital; and the Departments of Medicine (E.C.), Radiology (S.R.D.), and Pathology (S.A.K.), Harvard Medical School.