AI Article Synopsis

  • A 21-year-old man visited the emergency department with symptoms including chills, shortness of breath, and hemoptysis (coughing up blood) after experiencing a productive cough and sore throat for three days.
  • He noticed a non-itchy rash on his neck, palms, and feet, along with extreme fatigue and chest pain when coughing; his recent history included attending an outdoor concert in a wooded area.
  • The patient has no significant past medical issues, no recent sick contacts, and is sexually active with men, with his last unprotected encounter occurring a month prior.

Article Abstract

A 21-year-old man presented to the ED of The George Washington University Hospital complaining of chills, shortness of breath, hemoptysis, and a generalized rash. Three days before admission, he noticed a productive cough, severe sore throat, and subjective fever. He also experienced extreme fatigue, generalized sweating, and chest pain with coughing. On the day before admission, he experienced a nonpruritic rash on his neck, palms, and dorsal surfaces of his feet and sputum with streaks of blood. The patient had no significant medical or family history. He had no sick contacts, and his only recent travel was to an outdoor concert in a woody area of the northeastern United States about a month earlier. He did not report recent contact with birds or visits to caves. He is single, lives alone in an apartment, and consumes about 4 alcoholic beverages a week. Occasionally, he smokes cannabis and e-cigarettes. He is sexually active with men, and his last unprotected sexual encounter was a month earlier. He denied photophobia, rhinorrhea, ear pain, nasal congestion, abdominal pain, nausea, vomiting, diarrhea, or dysuria.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533684PMC
http://dx.doi.org/10.1016/j.chest.2020.05.545DOI Listing

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