A Woman with Fever, Cough, and Dyspnea

Abstract

A 57-year-old woman with a prior minor ischemic stroke visited the emergency department because of cough with left lower chest pain and progressive dyspnea for a few days. Upon presentation, she was fully conscious with a blood pressure of 157/75 mm Hg, a pulse rate of 102 beats/min, a temperature of 39.1 °C (102.4 °F), and a room air saturation of 95%. On examination, her breath sounds were coarse, whereas her abdomen was soft and nontender. Chest radiograph revealed left lower lung field opacity (Figure 1).