01613nam a2200313 4500 ESSALUD 20260804152234.0 ta t pe ||||| |||| 00| 0 spa d BMG eng Goldberg, Hilary J. Autor 53722 Case 19-2026: A 68-year-old man with fatigue, fever, and hypoxemia páginas: 176-185 A 68-year-old man was evaluated in an outpatient clinic of this hospital because of fatigue and dyspnea. The patient had a history of chronic obstructive pulmonary disease with progressive bronchitis symptoms that had resulted in frequent emergency department visits and hospital admissions, as well as the use of supplemental oxygen during exertion. Three years before the current presentation, bronchoscopic lung-volume reduction surgery was performed, with placement of four endobronchial valves. One year later, symptoms progressed, and the patient was referred to the lung transplantation center of this hospital. MEDICINA CLÍNICA 33681 NEUMOLOGÍA 25628 ENFERMEDADES INFECCIONES 53723 CUIDADOS INTENSIVOS 5208 36891 TRASPLANTE 7847 Nandakumar, Harikrishnan 53724 Keller, Brian C. 53725 Hariri, Lida P. 53726 Kim, Arthur Y. 53727 Castillo, Briana N. 53728 22717 22635 Massachusetts NEJM Group NEJM002 The New England Journal of Medicine ESSALUD 0028-4793 ARTICULOS 2026-07-30 sqb 22734 22734