A 37-Year-Old Man With Pleuritic Chest Pain.

Journal Article (Journal Article)

CASE PRESENTATION: A 37-year-old man with poorly controlled type 2 diabetes presented with severe right-sided pleuritic chest pain, respiratory splinting, and cough. Two weeks earlier, he had been evaluated at an urgent care for cough and was prescribed a 5-day course of azithromycin for bronchitis. He then presented to our ED reporting mild, right-sided pleuritic chest pain. Vital signs were normal, and his chest radiograph showed a trace right pleural effusion (Fig 1A). He was discharged with naproxen for pleurisy. Three days later, he returned, reporting a dramatic increase in the severity of his pleuritic chest pain and a cough that had become productive of yellow-brown sputum. He denied fever, but endorsed chills and night sweats. His medications included atorvastatin, lisinopril, metformin, and saxagliptin. His parents were from Guam, although he was born and raised in San Diego, CA. He was employed as a social worker and denied any history of cigarette smoking, alcohol, or drug use.

Full Text

Duke Authors

Cited Authors

  • Galant-Swafford, J; Light, M; Onaitis, MW; Rawlings, SA; Fierer, J; Landsberg, JW

Published Date

  • July 2019

Published In

Volume / Issue

  • 156 / 1

Start / End Page

  • e15 - e21

PubMed ID

  • 31279380

Pubmed Central ID

  • PMC6904853

Electronic International Standard Serial Number (EISSN)

  • 1931-3543

Digital Object Identifier (DOI)

  • 10.1016/j.chest.2019.02.002


  • eng

Conference Location

  • United States