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Postgraduate Education Corner |

A 22-Year-Old Man With Headache and Stiff Neck After a Water Skiing Fall

Kristie Jones, MD; Ekachai Singhatiraj, MD; Rebecca MacDougall, MD; Thomas R. Beaver, MD; Kenneth Nugent, MD, FCCP*
Author and Funding Information

*From the Departments of Internal Medicine (Drs. Jones, Singhatiraj, and Nugent) and Pathology (Drs. MacDougall and Beaver), Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX.

Correspondence to: Kenneth Nugent, MD, FCCP, Department of Internal Medicine, Texas Tech University Health Sciences Center School of Medicine, 3601 Fourth St, Lubbock, TX 79430; e-mail: Kenneth.nugent@ttuhsc.edu

The authors have no conflicts of interest to disclose.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


The authors have no conflicts of interest to disclose.

The authors have no conflicts of interest to disclose.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(1):225-227. doi:10.1378/chest.08-0984
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Extract

A 22-year-old, healthy man presented to the emergency department with a 1-week history of left earache, headache, and progressive agitation with an altered mental status. One week before, the patient had been water skiing on a South Texas lake. He reportedly had a “bad fall” in the water, “hitting his head hard on the water,” and had a “busted ear drum.” One to 2 days later, left ear pain and headache developed and he went to a community health clinic. He received antibiotics for an “inner-ear infection.” During the next week, he became agitated and confused and was then taken to the emergency department.

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