A 46-year-old man with excruciating shoulder pain. Chest 2005 Mar;127(3):1039-44
Date
03/15/2005Pubmed ID
15764791DOI
10.1378/chest.127.3.1039Scopus ID
2-s2.0-15844388808 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
A 46-year-old man with no significant medical history presented to his local emergency department complaining of excruciating right shoulder pain. The patient was in his usual state of excellent health until 4 days prior, when right shoulder pain developed while he was using a chainsaw to cut wood. The next day, flu-like symptoms developed with fevers, chills, and headache. An MRI revealed that the right pectoralis major was torn from its attachment to the acromion. His shoulder pain intensified despite treatment with hydrocodone and acetaminophen, and the flu-like symptoms progressed over the next 2 days. Finally, on the day of hospital admission, he was weak and unable to arise out of bed. He was taken by family members to the local emergency department.
Author List
Olafsson EJ, Zeni T, Wilkes DSAuthor
Eric J. Olafsson MD Staff Physician in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Abdominal WallDiagnosis, Differential
Fasciitis, Necrotizing
Gangrene
Humans
Male
Middle Aged
Muscle, Skeletal
Myositis
Shoulder
Shoulder Pain
Soft Tissue Infections
Streptococcal Infections
Streptococcus pyogenes
Thoracic Wall
Tomography, X-Ray Computed
