Case 33012

Presentation of CaseA forty-seven-year-old credit manager was admitted to the hospital with a history of cough.Four months before admission, the patient had caught a "cold," following which a cough had persisted intermittently. He raised moderate amounts of foamy sputum with occasional flecks of bright-red blood. There were four febrile episodes, each lasting for about a week, during which the cough and sputum were accentuated. In the afternoons the temperature rose to 101 and occasionally to 103°F., with chilly sensations but no shaking chills. During this period the patient lost 15 pounds in weight. There had been a feeling . . .