The Cough That Wasn’t Just a Cold

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Ravi, a 36-year-old IT professional, came in with a dry cough persisting for over two months. His general physician had treated him with antihistamines and antibiotics—twice. When he saw me, he looked healthy but sounded exhausted. A chest X-ray was ordered as a precaution. It showed a mediastinal mass.

CT confirmed a bulky anterior mediastinal tumor—Hodgkin’s lymphoma. A biopsy sealed the diagnosis. ABVD chemotherapy was started within the week.

Six months later, he rang the remission bell, surrounded by his family, and said, “That cough saved my life.”


The Lesson Learned

Persistent symptoms deserve persistence in investigation. Don’t let a young patient’s healthy appearance blind you to serious pathology.

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