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Images in Thorax
Cryptic clues for an infection puzzle: from inside out
  1. Ding-Jie Lee1,
  2. Hung-Hui Liu2,
  3. Dun-Wei Huang3,
  4. Chia-Hua Lin4,
  5. Chung-Kan Peng5
  1. 1 Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  2. 2 Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  3. 3 Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  4. 4 Department of Dermatology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  5. 5 Division of Pulmonary Medicine and Critical Care Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  1. Correspondence to Dr Chung-Kan Peng, Division of Pulmonary Medicine and Critical Care Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan; kanpeng{at}mail.ndmctsgh.edu.tw

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A 60-year-old male farmer with headache without fever for 2 months and with no other systemic disease presented to the emergency department with a 2-week history of non-productive cough as well as progressive hearing and vision loss. Chest radiography and CT scan revealed a left solitary tumour with pleural attachment (figure 1) without associated lymphadenopathy. At 3 days after admission, he lost consciousness and was administered emergency endotracheal …

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