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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 33-Year-Old Man With Pharyngitis, Transient Rash, and Multiorgan System Failure*

Bonnie S. Slovis, MD, FCCP; Anne Elizabeth Eyler, MD
Author and Funding Information

*From the Division of Allergy, Pulmonary, and Critical Care Medicine (Dr. Slovis), and the Department of Medicine (Dr. Eyler), Vanderbilt University Medical Center, Nashville, TN.

Correspondence to: Bonnie S. Slovis, MD, FCCP, T-1218 MCN, Vanderbilt University Medical Center, Nashville, TN 37232-2650; e-mail: bonnie.slovis@vanderbilt.edu



Chest. 2007;132(3):1080-1083. doi:10.1378/chest.07-0039
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A previously healthy 33-year-old man was transferred to our hospital with hypotension, cardiac systolic dysfunction, respiratory failure, and renal insufficiency. He had been admitted 2 days before to an outside hospital following a 5-day history of cough, pharyngitis, myalgias, arthralgias, and a transient salmon-colored truncal rash associated with fluctuating fevers. He received therapy with broad-spectrum antibiotics, but his condition continued to deteriorate, requiring mechanical ventilation and vasopressors. Chest radiographs at the outside hospital revealed a left lower lobe pneumonitis, and an echocardiogram revealed an ejection fraction of 30 to 35% with global hypokinesis. Because of his continued deterioration, he was transferred to our hospital.

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