A 36-year-old man presented to the Emergency Department with new-onset chest pain,
shortness of breath, and fever. Four days prior to presentation, after going for a
walk in the cold, he progressively developed sharp, nonradiating chest pain on the
left side that occurred with deep inspiration. The next day, he had a temperature
of 39.1°C (102.4°F), and the severity of his chest pain increased so that at times
he felt he could not catch his breath. Discomfort was not related to exertion, position,
or meals, and was alleviated only by taking shallow breaths. He denied cough, rhinorrhea,
sputum production, sick contacts, and recent travel. One week before his symptoms
emerged, he had an episode of loose stools that resolved on its own.
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Article info
Publication history
Published online: January 09, 2017
Thomas J. Marrie, MD, Section EditorFootnotes
Funding: There was no financial support for this article.
Conflict of Interest: There are no conflicts of interest to disclose.
Authorship: All authors participated in the preparation of the manuscript.
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
