Affiliate NetWork

In 2010, the Affiliate NetWork Steering Committee conducted a confidential and anonymous survey of fellows asking them to evaluate their fellowship training experience, share their career plans, and inform us of ways in which the College could assist them with meeting their educational and career goals.

This CHEST collection is intended to help raise the knowledge and skills of those writing papers and other materials related to research and practice, whether they be native English language speakers or not.

Clinical presentation The patient is a 60-year-old Japanese man who presented with a 2-week history of fevers, myalgias, fatigue, and a sore throat. He was treated as an outpatient with amantadine and clarithromycin for 5 days prior to admission without improvement. During this period, he also noted increasing right knee pain without any swelling, as well as poor appetite and a 10-lb weight loss. He did not report any history of rashes, cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, or diarrhea. There was no history of recent travel, contacts with people who are sick, or animal exposures. After an initial workup, he was admitted to the general medical ward and placed on broad-spectrum antibiotics. On the second hospital day, he was transferred to the medical ICU for severe tachycardia and tachypnea.