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  <titleInfo>
    <title>Case 19-2026: A 68-year-old man with fatigue, fever, and hypoxemia</title>
  </titleInfo>
  <name type="personal">
    <namePart>Goldberg, Hilary J.</namePart>
    <role>
      <roleTerm authority="marcrelator" type="text">creator</roleTerm>
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    <role>
      <roleTerm type="text">Autor</roleTerm>
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  <name type="personal">
    <namePart>Nandakumar, Harikrishnan</namePart>
  </name>
  <name type="personal">
    <namePart>Keller, Brian C.</namePart>
  </name>
  <name type="personal">
    <namePart>Hariri, Lida P.</namePart>
  </name>
  <name type="personal">
    <namePart>Kim, Arthur Y.</namePart>
  </name>
  <name type="personal">
    <namePart>Castillo, Briana N.</namePart>
  </name>
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    <issuance>monographic</issuance>
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  <language>
    <languageTerm authority="iso639-2b" type="code">spa</languageTerm>
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  <language>
    <languageTerm authority="iso639-2b" type="code">eng</languageTerm>
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    <extent>páginas: 176-185</extent>
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  <abstract>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.</abstract>
  <subject>
    <topic>MEDICINA CLÍNICA</topic>
  </subject>
  <subject>
    <topic>NEUMOLOGÍA</topic>
  </subject>
  <subject>
    <topic>ENFERMEDADES INFECCIONES</topic>
  </subject>
  <subject>
    <topic>CUIDADOS INTENSIVOS</topic>
  </subject>
  <subject>
    <topic/>
  </subject>
  <subject>
    <topic>TRASPLANTE</topic>
  </subject>
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    <titleInfo>
      <title>The New England Journal of Medicine</title>
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    <originInfo>
      <publisher>Massachusetts NEJM Group</publisher>
    </originInfo>
    <identifier>NEJM002</identifier>
    <identifier type="issn">0028-4793</identifier>
    <identifier type="local">ESSALUD</identifier>
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    <recordCreationDate encoding="marc">      </recordCreationDate>
    <recordChangeDate encoding="iso8601">20260804152234.0</recordChangeDate>
    <recordIdentifier>ESSALUD</recordIdentifier>
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