0
ONLINE EXCLUSIVES
Ultrasound Corner |

Fever in a Young Female: Unmasking a Rare Disaster

Ayman Elbadawi, MD; Yasser Alaa, MD, PhD; Hany Foad, MD, PhD; Marwan Saad, MD, PhD
Author and Funding Information

aDepartment of Medicine, Rochester General Hospital, Rochester, NY

bDepartment of Cardiovascular Diseases, Ain Shams Medical School, Cairo, Egypt

cDepartment of Medicine, Division of Cardiovascular Diseases, University of Arkansas for Medical Sciences, Little Rock, AR

CORRESPONDENCE TO: Ayman Elbadawi, MD, Department of Medicine, Rochester General Hospital, 1425 Portland Ave, Rochester, NY 14621


Copyright 2016, . All Rights Reserved.


Chest. 2016;150(3):e77-e79. doi:10.1016/j.chest.2016.03.065
Text Size: A A A
Published online

Extract

A 24-year-old woman was evaluated in our ED for 2 weeks’ duration of subjective fevers, chills, and generalized fatigue. Her history is significant for intravenous (IV) drug abuse. Review of systems did not reveal any other symptoms such as chest pain, shortness of breath, or headaches. On presentation, she had blood pressure of 124/62, heart rate of 97 beats/min, respiratory rate of 18 breaths/min, and oral temperature of 100.2°F. Pulse oximetry was 97% on room air. Physical examination was unremarkable. Electrocardiogram was normal. Chest radiography showed normal cardiac silhouette with normal lung fields. Laboratory workup showed an erythrocyte sedimentation rate of 38 mm/h, a C-reactive protein of 105 mg/L, and total leukocytic count of 14,000/mm3. Blood culture was drawn, and broad-spectrum antibiotics were administered. Given her history of IV drug abuse, we proceeded to a two-dimensional transthoracic echocardiogram (TTE) to rule out infective endocarditis.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543