Clinical Case of the Month:A 54 Year-Old Woman With Fever and Chills of Four-Days Duration.
A 54 year-old woman with diabetes mellitus type two and end-stage renal disease on hemodialysis presented to the emergency department with a four day history of generalized malaise, fever, and chills. Her symptoms were also associated with occasional dyspnea without a cough. She reported intermittent chronic diarrhea with hemodialysis which was currently unchanged. On the day of admission, she could not tolerate hemodialysis due to her symptoms. Over the past year she admitted to night sweats and a 40 pound weight loss. She denied having palpitations, chest pain, hemoptysis, lymph node swelling, sick contacts, or recent travel. The remainder of the review of systems was negative.
LSUHSC Department of Obstetrics and Gynecology, New Orleans, LA.
Jessica M
JM
Rosselot
LSUHSC Department of Internal Medicine, New Orleans, LA.
James N
JN
Mansfield
LSUHSC Department of Internal Medicine, New Orleans, LA.
Cody R
CR
Hill
LSUHSC Department of Neurology, New Orleans, LA.
Nirmala
N
Tumarada
LSUHSC Department of Internal Medicine, New Orleans, LA.
Shane E
SE
Sanne
LSUHSC Department of Medicine, New Orleans, LA.
Fred A
FA
Lopez
D064207:Aggregatibacter aphrophilus / Q000302:isolation & purification*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D023341:Chills / Q000209:etiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003937:Diagnosis, Differential; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging* / Q000628:therapy*; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D016871:Pasteurellaceae Infections / Q000175:diagnosis*; D006435:Renal Dialysis
D000900:Anti-Bacterial Agents; D002443:Ceftriaxone