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A Man in His 50s With Septic Shock From an Occult SourceSeptic Shock From an Occult Source

Yonatan Y. Greenstein, MD; Bennyson Young G. So, MD; Jonathan Gong, MD; Jose Cardenas-Garcia, MD; Rubin I. Cohen, MD, FCCP; Seth Koenig, MD, FCCP
Author and Funding Information

From the Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Hofstra North Shore-Long Island Jewish School of Medicine, New Hyde Park, NY.

CORRESPONDENCE TO: Yonatan Y. Greenstein, MD, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Hofstra North Shore-Long Island Jewish School of Medicine, 410 Lakeville Rd, Ste 107, New Hyde Park, NY 11040; e-mail: ygreenstein@nshs.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;148(4):e109-e111. doi:10.1378/chest.14-2884
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A previously healthy man in his 50s presented to an ED complaining of a 1-week history of generalized malaise, weakness, subjective fevers, chills, decreased appetite, and nonbloody diarrhea. He was given a diagnosis of a viral illness and discharged with acetaminophen and ibuprofen. His symptoms continued, and follow-up with his primary physician revealed an elevated serum creatinine level (5.84 mg/dL) from a previously normal baseline. He was referred to the ED.

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