Headache and hemoptysis in young man

Authors

  • Ignacio Pérez-Catalán Servicio de Medicina Interna. Hospital General Universitario de Castellón. Castellón de la Plana. España
  • Daniela Díaz-Carlotti Servicio de Medicina Interna. Hospital La Magdalena. Castellón de la Plana. España
  • María Teresa Guinot-Soler Servicio de Medicina Interna. Hospital General Universitario de Castellón. Castellón de la Plana. España
  • Blanca Manuela Orobitg-Doménech Servicio de Medicina Interna. Hospital de Manises. Manises (Valencia). España
  • Celia Roig-Martí Servicio de Medicina Interna. Hospital General Universitario de Castellón. Castellón de la Plana. España

DOI:

https://doi.org/10.32818/reccmi.a3n1a3

Keywords:

subdural empyema, lung abscess, septic embolism, prevotella, parvimonas.

Abstract

A 32-year-old male patient who visited the emergency room having headache for 5 days in a row along with cough, pleuritic pain and fever (hemoptysis in the last two days). He is wearing a piercing in his forehead. Anodyne physical exploration. Analytically PCR of 353 mg/L (3-10 mg/L), Leukocytes 21,000/ml (4800-10800/ml) with 81% neutrophils (40-70%). In the chest X-ray, there is condensed cavitation in the right upper lobe. So that, he enters at Pneumology department with suspected of having tuberculosis and empirical treatment with amoxicillin/clavulanic.

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References

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Brouwer MC, van de Beek D. Critical Care Neurology. Management of bacterial central nervous system infections. 2017; 140: 349-364.

Poetter C, Pithois C, Caty S, Petit V, Combier JP, Mourtialon P. Hiding Behind Confusion: Pleural Empyema Caused by Parvimonas micra. Surg Infect. 2014; 15(3): 356-357.

Rodríguez-Segade S, Velasco D, Marcos PJ. Empiema secundario a coinfección por Aggregatibacter aphrophilus y Parvimonas micra. Arch Bronconeumol. 2015; 51: 254-255.

Published

2018-04-30

How to Cite

1.
Pérez-Catalán I, Díaz-Carlotti D, Guinot-Soler MT, Orobitg-Doménech BM, Roig-Martí C. Headache and hemoptysis in young man. Rev Esp Casos Clin Med Intern [Internet]. 2018 Apr. 30 [cited 2024 Sep. 27];3(1):6-8. Available from: https://www.reccmi.com/RECCMI/article/view/184

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