Case 43361

Presentation of CaseA twenty-eight-year-old man was admitted to the hospital because of "lung trouble."When he was three years old multiple laryngeal papillomas were excised. A year later, because of recurrence of laryngeal papillomas that caused respiratory difficulty, a tracheostomy was performed. Subsequently, he remained asymptomatic until three years before entry, when he had pneumonia. A year later he had pneumonia again. Since then he had had recurrent cough, hemoptyses, night sweats, chills, fever and dyspnea. X-ray films of the chest showed infiltrations in the right upper lobe and, later, in the left lower lobe. One and a half . . .