Two-month history of worsening dyspnea

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A 32-year-old female presented to the emergency room with a two-month history of worsening dyspnea, cough with production of sputum, hemoptysis and extensive weight loss. At the time of presentation, she was wasted and in moderate respiratory distress. Medical History: Known RVD (retroviral disease) positive Diagnosed three years previously but not on ARV's (antiretroviral drugs). Lost to follow-up snce initial diagnosis. 6 pack year history of smoking, stopped 3 years ago no alcohol use no recreational/street drugs use.

Reference no: EM133625357

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