Case presentation A 26-year-old Caucasian lady presented with a two-week history of intermittent fever with chills, shortness of breath on exertion, dry cough, headaches, vomiting, nausea, decreased appetite, and chest discomfort that was aggravated by coughing. However, she had no hemoptysis, sputum production, wheezing, skin lesions, leg swelling, arthralgia, genital symptoms, or change in bowel habits.
The patient was sexually active and had progesterone implants, a history of smoking with intermittent alcohol use, and no history of drug use. Medical history Asthma Obesity (150 kg) Hypertension Polycystic ovary syndrome First day at the hospital Vital signs Fever – 38.6°C Blood pressure – 151/72 mmHg Tachycardia – 131 bpm Respiratory rate – 36/min Oxygen saturation – 99% on room air Physical examination Tenderness over the upper abdominal quadrant, epigastrium, and sternum region…
