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Prolonged fever, dyspnoea and diffuse pleural thickening in a 20-year-old man
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  1. C Cai1,
  2. D R Li2,
  3. Q S Zeng2,
  4. S Q Zhong2,
  5. N S Zhong2
  1. 1Department of Pulmonology, General Hospital of Guangzhou Military Command, Guangzhou, China
  2. 2Guangzhou Institute of Respiratory Disease, First Affiliated Hospital of Guangzhou Medical College, Guangzhou, China
  1. Correspondence to:
    Dr Chuang Cai
    Department of Pulmonology, General Hospital of Guangzhou Military Command, No 111 Liuhua Rd, Guangzhou, China 510010; skinblack1966{at}yahoo.com.cn

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Clinical presentation

A 20-year-old man was referred for intermittent high fever, night sweat and loss of body weight for 6 months associated with progressive exertional dyspnoea which developed 4 weeks before admission. The patient was unresponsive to antibiotics and 14 day pre-emptive antituberculous chemotherapy with rifampicin, isoniazid, ethambutol and pyrazinamide. His temperature was 39.8°C, …

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