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A 56-Year-Old Woman with Pulmonary Nodules 

A 56-Year-Old Woman with Pulmonary Nodules
A 56-Year-Old Woman with Pulmonary Nodules

Daniel Caplivski

and W. Michael Scheld

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date: 18 October 2021

Case 7c: A 56-year-old woman with a history of asthma and refractory non-Hodgkin's lymphoma underwent allogeneic bone marrow transplantation from her HLA-identical sister. Her course was complicated by pulmonary embolism and several episodes of graft versus host disease of the skin, treated with increased immunosuppression. One year after her transplant she had engrafted and was in remission. Her medications included mycophenolate mofetil, prednisone, albuterol, dalteparin, valacyclovir, trimethoprim-sulfamethoxazole, and fl uconazole. She presented with dyspnea, chest tightness and wheezing, and was admitted with a presumed asthma exacerbation. She also noted fever, cough, and pleuritic chest pain.

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