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.