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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 48-Year-Old Woman With Pneumonia, Shock, and a Rash*

Mark D. Siegel, MD, FCCP; Rachel Kimmel, RN
Author and Funding Information

*From the Yale-New Haven Hospital, Yale University School of Medicine.

Correspondence to: Mark D. Siegel, MD, FCCP, PO box 208057, Pulmonary and Critical Care Section, Yale University School of Medicine, New Haven, CT 06520-8057; e-mail: Mark.Siegel@yale.edu



Chest. 2006;129(6):1724-1727. doi:10.1378/chest.129.6.1724
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Extract

A 48-year-old woman presented to the emergency department complaining of fever, severe right-sided chest pain, and dehydration. A week earlier, fever to 102°F, upper respiratory tract symptoms, nausea, vomiting, diarrhea, and decreased oral intake had developed. On the day before hospital admission, she developed severe right-sided chest pain, nonproductive cough, and slurred speech. Her medical history was notable for life-threatening “scarlet fever” as a child. She smoked cigarettes and drank alcohol occasionally but not to intoxication.

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