Southwest Journal of Pulmonary, Critical Care and Sleep

Henry W. Luedy, MD¹

Sandra L. Till, DO²

Robert A. Raschke, MD¹

¹HonorHealth Scottsdale Osborn Medical Center

²Banner University Medical Center-Phoenix

Phoenix, AZ USA

Editor’s Note: the following case presentation represents a compilation of several patients.

History of Present Illness

The patient is a 27-year-old man who presented to the Emergency Department in late February 2020 with fever, cough, and green sputum production. He was recently in Hawaii where he meant his Asian girlfriend and was “partying hard”. He was intoxicated and had recent nausea and vomiting.

PMH, SH and FH

No significant PMH or FH. He does admit to smoking, marijuana use, THC use, and vaping.

Physical Examination

Vital Signs: BP 111/54 (BP Location: Right arm) | Pulse 74 | Temp 98.7 °F (37.1 °C) (Oral) | Resp 18 | Ht 5' 11" (1.803 m) | Wt 72.6 kg (160 lb) | SpO2 99% | BMI 22.32 kg/m²
General: Awake, alert, interactive, no acute distress
HEENT: Anicteric, moist mucosa, trachea midline
CV: RRR
Lungs: bilateral lower lobe rhonchi, no wheezing, symmetric expansion
Abdomen: Soft, non-tender, non-distended, positive bowel sounds
Extremities: no Lower extremity edema, no clubbing, no cyanosis
Neuro: No focal deficits, moves all extremities.
Psych: Appropriate

Which of the following are appropriate at this time? (Click on the correct answer to be directed to the second of six pages.)

Cite as: Luedy HW, Till SL, Raschke RA. April 2020 critical care case of the month: another emerging cause for infiltrative lung abnormalities. Southwest J Pulm Crit Care. 2020;20(4):119-23. doi: https://doi.org/10.13175/swjpcc018-20 PDF