A CASE OF 26 YEAR OLD MALE WITH SOB, COUGH AND FEVER
A 26 year old male presented with c/o SOB, cough and fever since 2 days. History of presenting illness: Patient was apparently asymptomatic 2 days back then he developed SOB initially grade 2 now progressed to grade 4 associated with cough, non productive, noy associated with blood. C/o fever since 2 days. He had similar complains 4 months back for which he was admitted. His earliest recall of events dates back to when he was studying in high school ( 9th class ) during the lunch break, he felt severe breathlessness and had to sit back while playing with copious amounts of ?sputum expectoration which he describes it as yellowish in colour and non foul smelling, he describes the incident like he is an old man and needs to sit back to catch up breath. He continues to feel breathlessness through out his teens and he needs to rest often associated with palpitations on further asking to describe the palpitations it was of pounding nature ( in his words hitting a wall with loud th