48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse
A 48-year-old male with a history of intravenous (IV) drug use presented to the emergency department (ED) for an area of mild pain and erythema on his chest. He was then triaged to the urgent care, or fast track, area of the ED. He was well appearing with normal lab findings and vital signs, but his...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2018-11-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/4zk9b68p |
| _version_ | 1818600226968043520 |
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| author | Adam Richardson Semhar Z. Tewelde Zachary D.W. Dezman |
| author_facet | Adam Richardson Semhar Z. Tewelde Zachary D.W. Dezman |
| author_sort | Adam Richardson |
| collection | DOAJ |
| description | A 48-year-old male with a history of intravenous (IV) drug use presented to the emergency department (ED) for an area of mild pain and erythema on his chest. He was then triaged to the urgent care, or fast track, area of the ED. He was well appearing with normal lab findings and vital signs, but his workup revealed mediastinitis with osteomyelitis of the manubrium and clavicles, a surgical emergency. His treatment course included IV antibiotics and operative intervention with thoracic surgery. The patient looked too good to be sick, yet he had a life-threatening infection. |
| first_indexed | 2024-12-16T12:32:08Z |
| format | Article |
| id | doaj.art-66c8914881cd4ff3b27ec7155472c2e6 |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-12-16T12:32:08Z |
| publishDate | 2018-11-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-66c8914881cd4ff3b27ec7155472c2e62022-12-21T22:31:40ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2018-11-012410.5811/cpcem.2018.8.39252cpcem-02-29748-year-old Man with Fevers, Chest Pain, and a History of Substance AbuseAdam RichardsonSemhar Z. TeweldeZachary D.W. DezmanA 48-year-old male with a history of intravenous (IV) drug use presented to the emergency department (ED) for an area of mild pain and erythema on his chest. He was then triaged to the urgent care, or fast track, area of the ED. He was well appearing with normal lab findings and vital signs, but his workup revealed mediastinitis with osteomyelitis of the manubrium and clavicles, a surgical emergency. His treatment course included IV antibiotics and operative intervention with thoracic surgery. The patient looked too good to be sick, yet he had a life-threatening infection.https://escholarship.org/uc/item/4zk9b68p |
| spellingShingle | Adam Richardson Semhar Z. Tewelde Zachary D.W. Dezman 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse Clinical Practice and Cases in Emergency Medicine |
| title | 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse |
| title_full | 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse |
| title_fullStr | 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse |
| title_full_unstemmed | 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse |
| title_short | 48-year-old Man with Fevers, Chest Pain, and a History of Substance Abuse |
| title_sort | 48 year old man with fevers chest pain and a history of substance abuse |
| url | https://escholarship.org/uc/item/4zk9b68p |
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