title: Adult Manifestation of Henoch-Schönlein Purpura.
abstract: A 51-year-old man initially presented to the hospital with a 2-week history of constipation, intermittently diffuse abdominal pain, nausea, vomiting, and productive cough. Results from chest x-ray and obstruction series appreciated a right lower lobe opacity and small right pleural effusion. The patient met sepsis criteria and was empirically covered for community-acquired pneumonia with vancomycin, piperacillin-tazobactam, moxifloxacin, and tobramycin. His hospital course was complicated by oliguria, acute kidney injury with a normal renal ultrasound, and transaminitis with a negative hepatitis panel. After clinical improvement, he was discharged on 2 additional days of levofloxacin to complete a 7-day antibiotic course.
authors: Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical Collage at Thomas Jefferson University, Philadelphia, PA; daria.kemp@jefferson.edu.
authors: Daria Marley
authors: DM
authors: Kemp
authors: Sidney Kimmel Medical College at Thomas Jefferson University, and Department of Family and Community Medicine, Sidney Kimmel Medical Collage at Thomas Jefferson University, Philadelphia, PA.
authors: James
authors: J
authors: Studdiford
authors: Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical Collage at Thomas Jefferson University, Philadelphia, PA.
authors: Katie
authors: K
authors: Osley
authors: Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical Collage at Thomas Jefferson University, Philadelphia, PA.
authors: Joya
authors: J
authors: Sahu
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D063189:Symptom Assessment
chemical_list: D000900:Anti-Bacterial Agents