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So Many Possibilities: Lung Nodules in a Transplant Recipient

  • Maroun Sfeir
    Correspondence
    Requests for reprints should be addressed to Maroun Sfeir, MD, MPH, Department of Healthcare Policy and Research, Weill Cornell Medical College, 402 E. 67th St, New York, NY 10065.
    Affiliations
    Department of Medicine, Weill Cornell University/New York Presbyterian Hospital

    Division of Infectious Disease, Weill Cornell University/New York Presbyterian Hospital

    Department of Healthcare Policy and Research, Weill Cornell University/New York Presbyterian Hospital
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  • Elijah Douglass
    Affiliations
    Department of Medicine, Weill Cornell University/New York Presbyterian Hospital
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  • Rosemary Soave
    Affiliations
    Department of Medicine, Weill Cornell University/New York Presbyterian Hospital

    Division of Infectious Disease, Weill Cornell University/New York Presbyterian Hospital
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Published:January 09, 2017DOI:https://doi.org/10.1016/j.amjmed.2016.12.013
      A 36-year-old man presented to the Emergency Department with new-onset chest pain, shortness of breath, and fever. Four days prior to presentation, after going for a walk in the cold, he progressively developed sharp, nonradiating chest pain on the left side that occurred with deep inspiration. The next day, he had a temperature of 39.1°C (102.4°F), and the severity of his chest pain increased so that at times he felt he could not catch his breath. Discomfort was not related to exertion, position, or meals, and was alleviated only by taking shallow breaths. He denied cough, rhinorrhea, sputum production, sick contacts, and recent travel. One week before his symptoms emerged, he had an episode of loose stools that resolved on its own.
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