Septic Shock of Unknown Origin: A Case Report of a Pseudoane
Case Report
An 81-year-old woman, with a past medical history of hypertension, dyslipidemia, asthma and degenerative valve disease, presented to the emergency department (ER) for acute pre-cordial pain and dyspnea. The patient reported nausea and vomiting, but denied aspiration. On physical exam, the patient was hemodynamically stable. However, she presented with a fever of 38.7 °C and signs of respiratory distress. Blood gas analysis revealed hypoxemia. Further blood work showed elevated inflammatory parameters and chest X-ray revealed left pleural effusion. The patient was admitted with a presumed diagnosis of aspiration pneumonia. She began antibiotic treatment with amoxicillin and clavulanate acid. Blood cultures were collected....