title: A 60-year-old woman with cough, dyspnea, and atelectasis 19 years after liver transplant.
abstract: A 60-year-old black woman presented with nonproductive cough of 1-month duration. She had also experienced rapidly progressive dyspnea for 1 week and one bout of vomiting a day before presentation. Her symptoms had failed to improve with a course of amoxicillin-clavulanate. Her medical history was significant for diabetes mellitus and liver transplant 19 years earlier for hepatitis C cirrhosis, for which she was receiving tacrolimus and mycophenolate. She was a current smoker with 40 pack-years of smoking history.
authors.affiliation: Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH.
authors.forename: Tanmay S
authors.initials: TS
authors.lastname: Panchabhai
authors.affiliation: Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH.
authors.forename: Debabrata
authors.initials: D
authors.lastname: Bandyopadhyay
authors.affiliation: Department of Thoracic Oncology, Rosewell Park Cancer Institute, University of Buffalo, Buffalo, NY.
authors.forename: Abdul Hamid
authors.initials: AH
authors.lastname: Alraiyes
authors.affiliation: Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH.
authors.forename: Atul C
authors.initials: AC
authors.lastname: Mehta
authors.affiliation: Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH. Electronic address: almeidf@ccf.org.
authors.forename: Francisco A
authors.initials: FA
authors.lastname: Almeida
mesh_terms: D000368:Aged; D001228:Aspergillosis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology; D001232:Aspergillus fumigatus / Q000302:isolation & purification; D001991:Bronchitis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D001999:Bronchoscopy; D003371:Cough / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005544:Forecasting; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D001261:Pulmonary Atelectasis / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014136:Tracheitis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology