Hong Kong Respiratory Medicine

NEJM. Volume 362:1030 March 18, 2010 Number 11
A 25-year-old Sudanese man with a 1-month history of coughing up bloodstained sputum was referred to our facility. Six years earlier, he had had a similar episode lasting 5 weeks, during which he had also had night sweats, weight loss, and fatigue. At that time, he was treated empirically for tuberculosis.

On presentation to our facility, he was afebrile, with normal oxygen saturation and breath sounds. Testing for the human immunodeficiency virus was negative. Chest radiography revealed a cavitary lesion in the left upper lobe (Panel A, arrow). A Mantoux test showed a 12-mm induration. Smear and culture results were . . .

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