Fleming ER, Gatz JD. 37-year-old Transgender Man with Fevers, Dysuria, and Sudden Decompensation.
Clin Pract Cases Emerg Med 2020;
4:277-282. [PMID:
32926666 PMCID:
PMC7434288 DOI:
10.5811/cpcem.2020.4.45956]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Accepted: 04/01/2020] [Indexed: 11/18/2022] Open
Abstract
Introduction
Patients in the emergency department may experience sudden decompensation despite initially appearing stable.
Case Presentation
A 37-year-old transgender man presented to the emergency department (ED) with several months of fevers, myalgias, and weight loss. The patient acutely became febrile, tachycardic, and hypotensive after an initially reassuring assessment in the ED.
Discussion
This case takes the reader through the differential diagnosis and work-up of the decompensating patient initially presenting with subacute symptoms.
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