A woman in her 60s with a history of end-stage renal disease who had a kidney transplant 9 months previously presented with progressive cough, dyspnea, and hoarseness. Her history also included chronic gastroesophageal reflux disease and a 14-pack-year smoking history. She initially presented 3 months prior with upper respiratory symptoms, which continued to worsen despite oral antibiotic therapy. Her cough became productive with white, frothy phlegm that was accompanied by fever, wheezing, hoarseness, and fatigue. Her dyspnea worsened in the supine position.
Hall SR, Mecham JC, Lott DG. Airway Obstruction in a Patient After Kidney Transplant. JAMA Otolaryngol Head Neck Surg. Published online May 09, 2019. doi:10.1001/jamaoto.2019.0772
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