A 68-year-old man with haemoptysis and extensive ipsilateral lung infiltrates. Issue 1 (March 2021)

• Record Type: Journal Article
• Authors: Kyriakopoulos, Chris; Gogali, Athena; Tatsis, Konstantinos; Anagnostopoulos, Nektarios; Stratakos, Grigoris; Kostikas, Konstantinos
• Is Part Of: Breathe. Volume 17:Issue 1(2021)
• Publication Date: 2021-03
• Subjects: Respiratory organs -- Diseases; Respiratory organs -- Diseases -- Treatment; Periodicals; 616.2005
• DOI: 10.1183/20734735.0229-2020
• Languages: English
• ISSNs: 1810-6838

Abstract

A 68-year-old male presented to the emergency department with a 24-h history of haemoptysis and fever. The patient also reported a productive cough for 5 years. He was a current smoker (smoking history of 80 pack-years) with an otherwise unremarkable past medical history. On examination, his respiratory rate was 24 breaths per min, heart rate was 120 beats per min, temperature 39.2°C and his oxyhaemoglobin saturation was 98% in room air. On auscultation, breath sounds were reduced and end-expiratory crackles were heard over the left lung. Physical examination was otherwise normal. Blood tests showed: white blood cells 14 500 cells·μL −1 (neutrophils 12 000 cells·μL −1, lymphocytes 1900 cells·μL −1 ), haemoglobin 13.9 g·dL −1, platelets 256 000 μL −1, C-reactive protein (CRP) 128 mg·L −1, erythrocyte sedimentation rate 90 mm·h −1, normal electrolytes, urea 45 mg·dL −1 and creatinine 1.22 mg·dL −1 . Can you diagnose this 68-year-old male with 24-h history of haemoptysis, 5-year history of productive cough and ipsilateral lung infiltrates? https://bit.ly/3tyhANB