A 37-Year-Old Man With Pleuritic Chest Pain.

Abstract:

CASE PRESENTATION:A 37-year-old man with poorly controlled type 2 diabetes presented with severe right-sided pleuritic chest pain, respiratory splinting, and cough. Two weeks earlier, he had been evaluated at an urgent care for cough and was prescribed a 5-day course of azithromycin for bronchitis. He then presented to our ED reporting mild, right-sided pleuritic chest pain. Vital signs were normal, and his chest radiograph showed a trace right pleural effusion (Fig 1A). He was discharged with naproxen for pleurisy. Three days later, he returned, reporting a dramatic increase in the severity of his pleuritic chest pain and a cough that had become productive of yellow-brown sputum. He denied fever, but endorsed chills and night sweats. His medications included atorvastatin, lisinopril, metformin, and saxagliptin. His parents were from Guam, although he was born and raised in San Diego, CA. He was employed as a social worker and denied any history of cigarette smoking, alcohol, or drug use.

journal_name

Chest

journal_title

Chest

authors

Galant-Swafford J,Light M,Onaitis MW,Rawlings SA,Fierer J,Landsberg JW

doi

10.1016/j.chest.2019.02.002

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

e15-e21

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(19)30144-8

journal_volume

156

pub_type

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