01616nam a2200313   4500001000800000005001700008007000300025008004100028040000800069041000800077100003900085245007100124300002300195520062300218650003000841650002400871650003600895650003000931650001000961650002100971700003700992700002901029700002801058700002701086700003101113773011001144942003101254999001701285ESSALUD20260804152234.0ta      t        pe ||||| |||| 00| 0 spa d  aBMG  aeng  aGoldberg, Hilary J. eAutor953722  aCase 19-2026: A 68-year-old man with fatigue, fever, and hypoxemia  apáginas: 176-185  aA 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.  aMEDICINA CLÍNICA933681  aNEUMOLOGÍA925628  aENFERMEDADES INFECCIONES953723  aCUIDADOS INTENSIVOS95208  936891  aTRASPLANTE97847  aNandakumar, Harikrishnan 953724  aKeller, Brian C. 953725  aHariri, Lida P. 953726  aKim, Arthur Y. 953727  aCastillo, Briana N.9537280 022717922635dMassachusetts NEJM GroupoNEJM002tThe New England Journal of Medicine wESSALUDx0028-4793  cARTICULOSe2026-07-30zsqb  c22734d22734