sirolimus and Musculoskeletal-Pain

A 34-year-old man presented to a community hospital with sudden-onset pleuritic chest pain on a background of a 12-month indolent history of progressive exertional dyspnea. He denied cough, fevers, night sweats, or weight loss. He reported some low back pain and ache. He had a history of gastroesophageal reflux and was a current smoker with a 20-pack year history. There were no known occupational or environmental exposures and there was no family history of any lung disease.

Topics: Adult; Antibiotics, Antineoplastic; Biopsy; Bone and Bones; Chest Pain; Chylothorax; Diagnosis, Differential; Humans; Immunohistochemistry; Lung Diseases; Lymphangiectasis; Male; Musculoskeletal Pain; Pleura; Pleural Effusion; Sirolimus; Thoracentesis; Tomography, X-Ray Computed; Treatment Outcome