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Lobar Pneumonia Presenting as Fever, Headaches, and a Negative Chest Radiograph

Published:January 14, 2023DOI:https://doi.org/10.1016/j.amjmed.2022.12.022
      A 40-year-old man with type 2 diabetes presented with a 5-day history of fever, night sweats, and new-onset, bitemporal, pounding headaches. He reported no cough, chest pain, dyspnea, or upper respiratory symptoms; no nausea, vomiting, neck stiffness, vision changes, photophobia or phonophobia. He had recently travelled to rural Minnesota with his family, none of whom had similar symptoms.
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      References

        • Ebell MH.
        Accuracy of signs and symptoms for the diagnosis of community-acquired pneumonia: A meta-analysis.
        Academic Emergency Medicine. 2020; 27: 541-553
        • Emadi Koochak H
        Abdominal Pain as Extrapulmonary Presentation of Pneumonia in an Adult: A Case Report.
        Acta Med Iran. 2017; 55: 131-133
        • Naccour J
        Rare presentation of community acquired pneumonia resulted in laparoscopic intervention in adult. Case Report.
        Int J Surg Case Rep. 2020; 75: 214-218
      1. Roig J, Sabria M, Castella X. Legionnaires’ disease. Infectious Diseases in Critical Care. 2007:404-412.

        • Makhnevich A
        • et al.
        The Clinical Utility of Chest Radiography for Identifying Pneumonia: Accounting for Diagnostic Uncertainty in Radiology Reports.
        AJR Am J Roentgenol. 2019; 213: 1207-1212
        • Claessens YE
        • Debray MP
        • Tubach F
        • et al.
        Early Chest Computed Tomography Scan to Assist Diagnosis and Guide Treatment Decision for Suspected Community-acquired Pneumonia.
        Am J Respir Crit Care Med. 2015; 192: 974-982