Volume 154, Issue 4, Pages e101-e105 (October 2018)

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Presentation transcript:

Volume 154, Issue 4, Pages e101-e105 (October 2018) A 38-Year-Old Man With a 2-Month History of Fever, Cough, Palpitations, and Weight Loss Dimitrios Papadopoulos, MD, MPH, Alexandra Nakou, MD, PhD, Konstantinos Lymperopoulos, MD, Vasiliki Filaditaki, MD, PhD CHEST Volume 154, Issue 4, Pages e101-e105 (October 2018) DOI: 10.1016/j.chest.2018.05.012 Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 1 Chest CT scan showing (A) bilateral pleural effusions and (B) a cavitary lesion in the apicoposterior segment of the left upper lobe. CHEST 2018 154, e101-e105DOI: (10.1016/j.chest.2018.05.012) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 2 A, ECG leads I, II, and III during an episode of paroxysmal supraventricular tachycardia (190 beats/min). B, Assessment of left ventricular ejection fraction via echocardiography. Cardiac MRI late gadolinium-enhanced phase-sensitive inversion recovery images, (C) four-chamber view and (D) two-chamber view. The imaging revealed multiple linear and nodular enhancing lesions in the inferior and septal left ventricular wall (arrows), suggesting the presence of myocardial inflammation or fibrosis. CHEST 2018 154, e101-e105DOI: (10.1016/j.chest.2018.05.012) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 3 Cardiac MRI late gadolinium-enhanced phase-sensitive inversion recovery images (two-chamber view) following completion of antituberculous treatment with evidence of linear high-signal areas in the inferior and septal left ventricular wall (arrows), corresponding to persistent fibrosis. CHEST 2018 154, e101-e105DOI: (10.1016/j.chest.2018.05.012) Copyright © 2018 American College of Chest Physicians Terms and Conditions