title: A 46-year-old man with excruciating shoulder pain.
abstract: A 46-year-old man with no significant medical history presented to his local emergency department complaining of excruciating right shoulder pain. The patient was in his usual state of excellent health until 4 days prior, when right shoulder pain developed while he was using a chainsaw to cut wood. The next day, flu-like symptoms developed with fevers, chills, and headache. An MRI revealed that the right pectoralis major was torn from its attachment to the acromion. His shoulder pain intensified despite treatment with hydrocodone and acetaminophen, and the flu-like symptoms progressed over the next 2 days. Finally, on the day of hospital admission, he was weak and unable to arise out of bed. He was taken by family members to the local emergency department.
authors.affiliation: Division of Pulmonary Medicine and Critical Care Medicine, Indiana University School of Medicine, Van Nuys Medical Sciences Building MS224, 635 Barnhill Dr, Indianapolis, IN 46202-5120, USA.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Olafsson
authors.forename: Tallal
authors.initials: T
authors.lastname: Zeni
authors.forename: David S
authors.initials: DS
authors.lastname: Wilkes
mesh_terms: D034861:Abdominal Wall; D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000175:diagnosis; D005734:Gangrene; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000473:pathology; D009220:Myositis / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D012782:Shoulder / Q000000981:diagnostic imaging; D020069:Shoulder Pain / Q000209:etiology*; D018461:Soft Tissue Infections / Q000175:diagnosis / Q000000981:diagnostic imaging; D013290:Streptococcal Infections / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D013297:Streptococcus pyogenes; D035441:Thoracic Wall; D014057:Tomography, X-Ray Computed