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An 81-year-old woman, with hypertension and dyslipidaemia, was admitted with an 8-month history of intermittent episodes of persistent cough, occasionally productive of yellowish sputum, and mild exertional dyspnoea, associated with malaise and 10 kg weight loss, but no fever or night sweats related. She was diagnosed as having chronic bronchitis and community-acquired pneumonia, receiving several courses of different empiric antibiotics, like amoxicillin and azithromycin with little improvement. On admission, she looks malnourished, weight 47 kg, body mass index 17 kg/m2, arterial pression 126/60 mm Hg, heart rate 78 per minute, respiratory rate 22 per minute and temperature 36.5°C. On …
Collaborators None to be included.
Contributors JPPM was the physician in charge of the patient and wrote the original draft. JCC was the cosultant infectious disease specilalist, who review and edit the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.