TY - JOUR T1 - Acute pulmonary function decline and radiographic abnormalities: chronic cause? JF - Breathe JO - Breathe DO - 10.1183/20734735.0286-2020 VL - 17 IS - 1 SP - 200286 AU - Kathleen M. Capaccione AU - Clement V. Tran AU - Jay S. Leb AU - Mary M. Salvatore AU - Belinda D'souza Y1 - 2021/03/01 UR - http://breathe.ersjournals.com/content/17/1/200286.abstract N2 - A 64-year-old female nonsmoker with a history of hypertension, obesity, type II diabetes, and recurrent urinary tract infections secondary to chronic kidney stones presented to an outpatient pulmonology clinic with new onset shortness of breath and cough. Her pulmonary history was unremarkable, with no history of asthma, tuberculous, emphysema or pulmonary fibrosis. She denied any farm or factory exposure and reported no exposure to other potential respiratory irritants such as bird or mould; she had no pets. Her home was a townhouse with a forced hot air system and she had worked in an office for the length of her career. Her family history was similarly noncontributory; her parents had passed away from nonrespiratory causes. She was one of 11 children, none of which had a history of asthma, COPD, pulmonary fibrosis, or tuberculous. Her two grown children also had no history of pulmonary disease.Nitrofurantoin is a cause of drug-induced pneumonitis and can result in clinically significant respiratory symptoms manifesting as interstitial lung disease on chest CT, even if the patient has been taking the drug chronically without side-effects https://bit.ly/3v2m29h ER -