A 42-Year-Old Man With Shortness of Breath, Fever, and Pleural Effusions

Chest. 2019 May;155(5):e141-e144. doi: 10.1016/j.chest.2018.10.035.

Abstract

A 42-year-old man with a history of progressive multiple myeloma and chronic kidney disease presented with worsening shortness of breath and fever. He was scheduled for a planned admission for chemotherapy on the day of presentation and had developed these symptoms the night before. He had also developed worsening fatigue but denied any new cough, sputum production, or abdominal pain. The patient had been previously admitted 3 weeks prior for neutropenic fever and colitis during his first cycle of chemotherapy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Biopsy, Needle
  • Disease Progression
  • Dyspnea / diagnosis
  • Dyspnea / etiology
  • Emergency Service, Hospital
  • Fever / diagnosis
  • Fever / etiology
  • Hospice and Palliative Care Nursing / methods
  • Humans
  • Immunohistochemistry
  • Male
  • Multiple Myeloma / complications*
  • Multiple Myeloma / diagnosis
  • Multiple Myeloma / drug therapy*
  • Pleural Effusion / diagnosis
  • Pleural Effusion / diagnostic imaging
  • Pleural Effusion / etiology
  • Prognosis
  • Terminally Ill
  • Tomography, X-Ray Computed / methods