CASE PRESENTATION A man in his 20s presented to the ED after several months of progressive dyspnea, dry cough, and night sweats. He had no chest pain, fevers, weight loss, or sick contacts. He was previously healthy and took no medications. Social history was notable for 5 pack-years of tobacco use. The patient was sexually active with male partners and had a recent partner infected with human T-lymphotropic virus. The patient worked in set design and window installations, and wore a respirator when working around solvents and resins. From ages 2 to 7 years, he frequently visited buildings at his parents' workplace that were undergoing asbestos abatement. From ages 7 to 24 years, he frequently visited pottery studios where talc-containing products were used. He frequently visited northern Massachusetts, and infections with Borrelia burgdorferi and Bartonella henselae were common in family members. His stepfather had recently been infected with Anaplasma. There was no family history of cancer.

中文翻译：

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一名 20 多岁的男性咳嗽、单侧胸腔积液和结节性胸膜增厚

病例介绍 一名 20 多岁的男性在连续数月出现进行性呼吸困难、干咳和盗汗后就诊于急诊室。他没有胸痛、发烧、体重减轻或生病接触。他以前很健康，没有服用任何药物。5 包年烟草使用的社会历史值得注意。该患者与男性伴侣发生性行为，并且最近有一位伴侣感染了人类 T 淋巴细胞病毒。患者从事布景设计和窗户安装工作，并在处理溶剂和树脂时佩戴呼吸器。从 2 岁到 7 岁，他经常参观父母工作场所正在减除石棉的建筑物。从 7 岁到 24 岁，他经常参观使用含滑石产品的陶艺工作室。他经常访问马萨诸塞州北部，伯氏疏螺旋体和亨氏巴尔通体感染在家庭成员中很常见。他的继父最近感染了无形体。没有癌症家族史。