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. 2020 Aug;4(3):277-282.
doi: 10.5811/cpcem.2020.4.45956.

37-year-old Transgender Man with Fevers, Dysuria, and Sudden Decompensation

Emily R Fleming  1 , J David Gatz  2
Affiliations

37-year-old Transgender Man with Fevers, Dysuria, and Sudden Decompensation

Emily R Fleming et al. Clin Pract Cases Emerg Med. 2020 Aug.

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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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Electrocardiogram of a 37-year-old male with sudden decompensation, taken while in the emergency department.
Image 2
Image 2
Anterior-posterior chest radiograph of a 37-year-old transgender male with sudden decompensation while in the emergency department.
See this image and copyright information in PMC

References

    1. Saad M, Shaikh DH, Mantri N, et al. Fever is associated with higher morbidity and clot burden in patients with acute pulmonary embolism. BMJ Open Respir Res. 2018;5(1):e000327. - PMC - PubMed
    1. Mendez L, Bhoola S, Horowitz I. Bilateral tubo-ovarian abscesses four years after total abdominal hysterectomy. Infect Dis Obstet Gynecol. 1998;6(3):138–40. - PMC - PubMed
    1. Powers K, Lazarou G, Greston WM, et al. Rupture of a tuboovarian abscess into the anterior abdominal wall: a case report. J Reprod Med. 2007;52(3):235–7. - PubMed
    1. Lau M, Cross CA, Berens P, et al. Ovarian abscess 15 months after vaginal hysterectomy. A case report. J Reprod Med. 1997;42(10):669–71. - PubMed
    1. Canas AM, Holloran-Schwartz B, Myles T. Tuboovarian abscess 12 years after total abdominal hysterectomy. Obstet Gynecol. 2004;104(5 Pt 1):1039–41. - PubMed