[
    {
        "id": "osp-1799",
        "type": "article-journal",
        "title": "A 45-year-old Male with Cough, Shortness of Breath and Constitutional Symptoms",
        "author": [
            {
                "family": "Mehmood",
                "given": "Mansoor"
            },
            {
                "family": "Halloush",
                "given": "Ruba A."
            },
            {
                "family": "Khasawneh",
                "given": "Faisal A."
            }
        ],
        "URL": "https://omanscience.com/en/articles/a-45-year-old-male-with-cough-shortness-of-breath-and-constitutional-symptoms",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2015
                ]
            ]
        },
        "container-title": "Oman Medical Journal",
        "DOI": "10.5001/omj.2015.96",
        "publisher": "Oman Medical Specialty Board",
        "ISSN": "1999-768X",
        "abstract": "A 45-year-old painter was admitted with a five day-history of a dry cough, headache, shortness of breath, and fever. His complaints started 10 days after he finished the remodeling of an old house. His physical exam was non-focal, and he had no rashes or lymphadenopathy. His blood tests showed white blood cell count of 12.7 × 10⁹/μL and his kidney and liver function tests were within normal limits. Lumbar puncture results and human immunodeficiency virus infection (HIV) test were negative. His chest X-ray showed bilateral interstitial opacities. Lung computed tomography scans showed bilateral parenchymal micronodules. The patient’s blood and bronchoalveolar lavage cultures were negative. He was diagnosed with atypical community-acquired pneumonia (CAP) and discharged on a course of azithromycin. The patient was lost to follow-up until he presented to our hospital four months later with constitutional symptoms. He reported night sweats and fever, poor appetite, dry cough, and shortness of breath. Follow-up chest imaging showed an increase in the size of the pulmonary nodules. He underwent video-assisted thoracoscopy with a lung biopsy. Biopsy staining showed pulmonary histoplasmosis. He was started on a six-month course of oral itraconazole and discharged. His symptoms improved gradually, and he continues to be followed-up in the outpatient clinic."
    }
]