29th April 2024

A 25-year-old female patient presents with a history of persistent respiratory symptoms, including a productive cough, recurrent chest infections, and shortness of breath.

A 25-year-old female patient presents with a history of persistent respiratory symptoms, including a productive cough, recurrent chest infections, and shortness of breath. She mentions that these symptoms have been present since childhood but have intensified over the past few years. She also reports frequent episodes of diarrhea and difficulty gaining weight. Her past medical history includes multiple hospitalizations for pneumonia and sinusitis. On examination, there is evidence of digital clubbing and crackles at both lung bases.

Which is the most likely diagnosis?