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
Chestjournal_title
Chestauthors
Galant-Swafford J,Light M,Onaitis MW,Rawlings SA,Fierer J,Landsberg JWdoi
10.1016/j.chest.2019.02.002subject
Has Abstractpub_date
2019-07-01 00:00:00pages
e15-e21issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(19)30144-8journal_volume
156pub_type
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