Female Lacrosse Player With Persistent Cough - Page #1

Author: Kristine Ray, MD
Co Author #1: Amy Miller, MD
Editor: Angelie Mascarinas, MD

Patient Presentation:
18 year old previously healthy female lacrosse player with two weeks of cough, headaches, sore throat and intermittent fever despite a 5-day course of Azithromycin.

She had a cough for 2 weeks, that was productive for the past 7 days, and was blood-tinged x 1. She also had fevers with T-max of 102.8 and some night sweats. She complained of occasional exertional dyspnea and malaise and fatigue. She denied weight loss, nausea, vomiting, chest pain or frank hemoptysis. She traveled to Croatia 1.5 years ago for 10 days. She denied history of TB or HIV risk factors.

Physical Exam:
T 97.1 (ibuprofen

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