A 66-year-old woman was presented to her family physician with a 2-week history of a dry cough and severe pain in the right flank. Five days before her visit, she was treated for viral upper respiratory tract infection, but her symptoms did not recede even after the treatment. The Examination A large ecchymosis across her right flank (Panel A) and tenderness on palpation were noted on the chest wall of the right side. The patient reported no trauma. CT of chest and abdomen was acquired (Panel B). Nasopharyngeal culture confirmed Bordetella pertussis.
However, she had no contacts with a sick person and had received the tetanus-diphtheria-acellular pertussis vaccination 8 years ago. What can you infer from the attached CT image? How would you manage this patient? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM The correct answer is posted in the…
