A 29-Year-Old Man With Nonproductive Cough, Exertional Dyspnea, and Chest Discomfort.
A 29-year-old man presented with a 5-month history of worsening dry cough, exertional dyspnea, chest tightness, and palpitations. He had been treated by his primary care physician with trials of guaifenesin/codeine, azithromycin, albuterol, and omeprazole without improvement. He denied wheezing, fever, sweats, anorexia, joint pain, swelling, or rash. He had no past medical history. He denied a history of tobacco smoking or IV drug use. He kept no pets, worked as a manager in an office environment, and had no history of occupational inhalational exposure. He reported using aerosolized insect spray to eradicate bed bugs in his house shortly before the cough began but did not report any acute symptoms when using the spray.
Department of Thoracic Radiology (Drs Halpenny and Alpert), New York University Langone Medical Center, New York, NY; Department of Pathology, New York University Langone Medical Center, New York, NY; Department of Pulmonology, New York University Langone Medical Center, New York, NY. Electronic address: darraghhalpenny@hotmail.com.
Darragh
D
Halpenny
Department of Thoracic Radiology (Drs Halpenny and Alpert), New York University Langone Medical Center, New York, NY; Department of Pathology, New York University Langone Medical Center, New York, NY; Department of Pulmonology, New York University Langone Medical Center, New York, NY.
James
J
Suh
Department of Thoracic Radiology (Drs Halpenny and Alpert), New York University Langone Medical Center, New York, NY; Department of Pathology, New York University Langone Medical Center, New York, NY; Department of Pulmonology, New York University Langone Medical Center, New York, NY.
Suzette
S
Garofano
Department of Thoracic Radiology (Drs Halpenny and Alpert), New York University Langone Medical Center, New York, NY; Department of Pathology, New York University Langone Medical Center, New York, NY; Department of Pulmonology, New York University Langone Medical Center, New York, NY.
Jeffrey
J
Alpert
D000328:Adult; D001706:Biopsy; D002637:Chest Pain; D003371:Cough; D003937:Diagnosis, Differential; D004417:Dyspnea; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007306:Insecticides / Q000506:poisoning*; D017563:Lung Diseases, Interstitial / Q000139:chemically induced* / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D012129:Respiratory Function Tests; D014057:Tomography, X-Ray Computed
D005938:Glucocorticoids; D007306:Insecticides