48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse

A 48-year-old male with a history of intravenous (IV) drug use presented to the emergency department (ED) for an area of mild pain and erythema on his chest. He was then triaged to the urgent care, or fast track, area of the ED. He was well appearing with normal lab findings and vital signs, but his...

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Detalles Bibliográficos
Autores principales: Richardson, Adam, Tewelde, Semhar Z., Dezman, Zachary D.W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230364/
https://www.ncbi.nlm.nih.gov/pubmed/30443610
http://dx.doi.org/10.5811/cpcem.2018.8.39252
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author Richardson, Adam
Tewelde, Semhar Z.
Dezman, Zachary D.W.
author_facet Richardson, Adam
Tewelde, Semhar Z.
Dezman, Zachary D.W.
author_sort Richardson, Adam
collection PubMed
description A 48-year-old male with a history of intravenous (IV) drug use presented to the emergency department (ED) for an area of mild pain and erythema on his chest. He was then triaged to the urgent care, or fast track, area of the ED. He was well appearing with normal lab findings and vital signs, but his workup revealed mediastinitis with osteomyelitis of the manubrium and clavicles, a surgical emergency. His treatment course included IV antibiotics and operative intervention with thoracic surgery. The patient looked too good to be sick, yet he had a life-threatening infection.
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spelling pubmed-62303642018-11-15 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse Richardson, Adam Tewelde, Semhar Z. Dezman, Zachary D.W. Clin Pract Cases Emerg Med Case Report A 48-year-old male with a history of intravenous (IV) drug use presented to the emergency department (ED) for an area of mild pain and erythema on his chest. He was then triaged to the urgent care, or fast track, area of the ED. He was well appearing with normal lab findings and vital signs, but his workup revealed mediastinitis with osteomyelitis of the manubrium and clavicles, a surgical emergency. His treatment course included IV antibiotics and operative intervention with thoracic surgery. The patient looked too good to be sick, yet he had a life-threatening infection. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2018-10-08 /pmc/articles/PMC6230364/ /pubmed/30443610 http://dx.doi.org/10.5811/cpcem.2018.8.39252 Text en Copyright: © 2018 Richardson et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Richardson, Adam
Tewelde, Semhar Z.
Dezman, Zachary D.W.
48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse
title 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse
title_full 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse
title_fullStr 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse
title_full_unstemmed 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse
title_short 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse
title_sort 48-year-old man with fevers, chest pain, and a history of substance abuse
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230364/
https://www.ncbi.nlm.nih.gov/pubmed/30443610
http://dx.doi.org/10.5811/cpcem.2018.8.39252
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