A 31-Year-Old Man With Chronic Cough and Hemoptysis*

mus; Paragonimus westermani; parasitic lung diseases; pulmo-nary eosinophilia Case Presentation A 31-year-old man presents for further evaluationof chronic cough and hemoptysis. His cough has been present for the past 5 years. Although the cough was nonproductive initially, hemoptysis has developed over the past year and a half. Since that time, he produces blood-tinged sputum daily. He reports occasional chest tightness and mild shortness of breath, which is worse with exercise or changes in temperature. On occasion, his cough becomes so severe that it is associated with nausea. He denies fever, chills, weight loss, night sweats, abdominal pain, or vomiting. Over the past 5 years, he has been treated with