A 29-Year-Old Woman With Severe Sepsis and Hemoptysis

• Published in: Chest Vol. 150; no. 2; p. e53
• Main Authors: Aripoli, Allison, Meek, Lucas, Lemons, Steven, Spikes, Leslie
• Format: Journal Article
• Language: English
• Published: United States 01.08.2016
• Subjects: Adult; Aneurysm, False - complications; Aneurysm, False - diagnostic imaging; Aneurysm, Infected - complications; Aneurysm, Infected - diagnostic imaging; Angiography; Bacteremia - complications; Bacteremia - diagnosis; Echocardiography; Endocarditis, Bacterial - complications; Endocarditis, Bacterial - diagnostic imaging; Female; Hemoptysis - etiology; Humans; Lung - diagnostic imaging; Pleural Effusion - complications; Pleural Effusion - diagnostic imaging; Pulmonary Artery - diagnostic imaging; Sepsis - complications; Sepsis - diagnosis; Staphylococcal Infections - complications; Staphylococcal Infections - diagnostic imaging; Staphylococcus aureus; Substance Abuse, Intravenous - complications; Tomography, X-Ray Computed; Tricuspid Valve - diagnostic imaging
• ISSN: 1931-3543
• DOI: 10.1016/j.chest.2016.02.681

A 29-year-old woman presented with a 1-week history of fever, weakness, anorexia, darkened urine, and mild cough. The patient described her cough as nonproductive and without hemoptysis. She had no chest pain. The patient's medical history was significant for x-linked hypophosphatemia, renal stones, migraine headaches, and chronic back pain managed on prescribed oral opiates for some time. She reported regular cigarette smoking, but denied illicit or IV drug use or any recent travel or sick contacts. The patient also had no known pertinent family history.