IMAGES IN MEDICAL PRACTICE: A Young Male with Recurrent Chest Infections and Clubbing

A 25 year old Bangladeshi gentleman presented with fever, cough with productive sputum and breathlessness for seven days. Fever was intermittent, high grade associated with chills and rigors, highest recorded temperature as 101 degrees Fahrenheit. Sputum was yellowish, copious in volume, foul-smelling but not associated with haemoptysis. He also complained of rhinitis and intermittent headaches. On query, he admitted to recurrent episodes of common cold, sneezing and nasal blockade, and productive cough with exertional breathlessness for the past 8 years. He was a non-smoker, and born to non-consanguineous parents. He had been treated repeatedly with various antibiotics and expectorant medication for his condition with no success.