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A 33-Year-Old Man With a History of Intravenous Drug Use and Fevers

Gisela I. Banauch, MD; Michael Colancecco, DO
Author and Funding Information

Dr Colancecco is currently at Lahey Hospital & Medical Center (Burlington, MA).

CORRESPONDENCE TO: Gisela I. Banauch, MD, Department of Medicine, Division of Pulmonary Allergy Critical Care and Sleep Medicine, University of Massachusetts Medical Center, 55 Lake Ave N. Worcester, MA 01655


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(3):e75-e77. doi:10.1016/j.chest.2015.09.042
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Extract

A 33-year-old man with a history of IV drug use presented with a 2-week history of fatigue and malaise with accompanying fever and chills. After 1 week of symptoms, he had presented to an outside emergency department and had been discharged, with his complaints attributed to a viral infection. He subsequently developed a nonproductive cough, dyspnea with exertion, and pleuritic chest pain, and grew Staphylococcus aureus in blood cultures that had been obtained during his first visit to the emergency department. This prompted reevaluation and transfer from the emergency department of the outside hospital.

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