A 49-year-old man, who works as a farmer in rural Colombia, consulted in the emergency department with a clinical picture of 5months history of frontal and occipital headache, associated with dizziness, nausea, progressive dyspnea, dry cough, and shortness of breath. On physical examination, it was found that the patient had regular general conditions, is conscious, alert, and oriented, with marked signs of respiratory distress, bilateral crackles, normal abdominal palpation, mild left hemiparesis, 122/75mmHg blood pressure, 116 beats per minute heart rate, 37.5°C temperature, 40 breaths per minute respiratory rate, and 88% oxygen saturation on room air.
