Case 50-1989: A 17-Year-Old Boy with Right-Lower-Lobe Pneumonitis and Asthma

Presentation of Case A 17-year-old boy was admitted to the hospital because of pneumonitis of the right lower lobe. The patient was in a stable state of health until one week earlier, when a cough developed that was productive of yellow sputum that soon became clear. Five days before entry the patient noticed a few flecks of blood in his sputum. During the two days before admission increasing amounts of blood appeared in the sputum, and frank chills occurred; his temperature rose as high as 40°C; right-sided pleuritic pain developed and was aggravated by coughing. One day before admission the . . .