Appearances Can Be Deceiving: What Is the Diagnosis for this Community‐Acquired Pneumonia?

TL;DRAbstract

A and asbestos exposure (in the 1970s) presented to the emergency department with a one‐month history of progressive dyspnea, right‐sided pleuritic chest pain, cough productive of white‐coloured sputum and malaise. His health problems had commenced four months before presentation while he was vacationing at a northern Ontario resort. At that time, he had felt unwell and had developed a fever with rightsided pleuritic chest pain that radiated to his right shoulder. The diagnosis was an upper respiratory tract infection, made by the local physician; the patient was treated with a 10‐day course of cephalexin. Although his condition had initially improved after the antibiotic therapy, during the month before presentation he had experienced increasing fatigue, cough with clear sputum production and a loss of appetite. He also developed worsening right‐sided pleuritic chest pain that radiated to the right shoulder, dyspnea and orthopnea. He had no nausea, vomiting, diarrhea or hemoptysis. Ho

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