Case History
A 23-year old man, came to the emergency department because of shortness of breath, fatigue, a cough, muscle pain, nausea, and a fever. His shortness of breath was due to minimal activity and returned to normal after several minutes of rest. His fatigue has limited him to only doing daily required activities. He did not complain of having any chest pain while breathing. His cough was nonproductive and had no aggravating or relieving factors to it. He also complained of feeling sick to his stomach. The day before he came to the emergency department, he had a fever of 104 degrees Fahrenheit.
The patient does not use tobacco or alcohol. He lives in an apartment with his girlfriend and works as an editor for his local newspaper. He has an indoor cat and he has not traveled recently. His girlfriend has also been away for two weeks for work.
In the emergency department, Harry still had a fever of 104 degrees F and was slightly short of breath. He still felt sick to his stomach as well. Due to his shortness of breath he was his arterial oxygen saturation was checked and it was at 84% when he was …show more content…
His body temperature was 100 degrees F, heart rate 78 beats per minute, and his blood pressure was 96/50 mm Hg. He was weaned of off 50% oxygen through a face mask to a 2 liters of oxygen by a nasal cannula. His electrolyte levels were unremarkable, but his white blood cell count increased to 26.0 x 109/L. The cultures for influenza A and B viruses were negative as well as the blood cultures for bacteria and fungus. The urine test for Legionella antigen was positive. The infectious disease team recommended that levofloxacin 500 mg be administered orally once a day and to be continued for a total of 14 days. A sample of was taken from the humidifier in Harry’s apartment and was cultured as a potential source of the
A 23-year old man, came to the emergency department because of shortness of breath, fatigue, a cough, muscle pain, nausea, and a fever. His shortness of breath was due to minimal activity and returned to normal after several minutes of rest. His fatigue has limited him to only doing daily required activities. He did not complain of having any chest pain while breathing. His cough was nonproductive and had no aggravating or relieving factors to it. He also complained of feeling sick to his stomach. The day before he came to the emergency department, he had a fever of 104 degrees Fahrenheit.
The patient does not use tobacco or alcohol. He lives in an apartment with his girlfriend and works as an editor for his local newspaper. He has an indoor cat and he has not traveled recently. His girlfriend has also been away for two weeks for work.
In the emergency department, Harry still had a fever of 104 degrees F and was slightly short of breath. He still felt sick to his stomach as well. Due to his shortness of breath he was his arterial oxygen saturation was checked and it was at 84% when he was …show more content…
His body temperature was 100 degrees F, heart rate 78 beats per minute, and his blood pressure was 96/50 mm Hg. He was weaned of off 50% oxygen through a face mask to a 2 liters of oxygen by a nasal cannula. His electrolyte levels were unremarkable, but his white blood cell count increased to 26.0 x 109/L. The cultures for influenza A and B viruses were negative as well as the blood cultures for bacteria and fungus. The urine test for Legionella antigen was positive. The infectious disease team recommended that levofloxacin 500 mg be administered orally once a day and to be continued for a total of 14 days. A sample of was taken from the humidifier in Harry’s apartment and was cultured as a potential source of the