{"pk":21291,"title":"Cholecystoduodenal Fistula and Urosepsis in A Febrile Emergency Department Patient: A Case Report","subtitle":null,"abstract":"<p><strong>Introduction</strong>: Point-of-care ultrasound (POCUS) is a rapid bedside tool, particularly in undifferentiated emergency department patients. Point-of-care ultrasound can investigate potential intra-abdominal infections in febrile patients, especially in the elderly, who often present atypically without abdominal pain or localizing symptoms.</p>\n<p><strong>Case Report: </strong>We highlight the important POCUS findings of cholecystoduodenal fistula and staghorn calculus in a febrile, elderly patient with dementia.</p>\n<p><strong>Conclusion</strong>: Early recognition of cholecystoduodenal fistula and staghorn calculus using POCUS can expedite appropriate antibiotic and interventional treatment for improved patient outcomes.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"fever"},{"word":"point-of-care ultrasound"},{"word":"cholecystoduodenal fistula"},{"word":"Staghorn Calculus"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5507w9zg","frozenauthors":[{"first_name":"Amna","middle_name":"","last_name":"Nawaz","name_suffix":"","institution":"Duke University School of Medicine, Department of Emergency Medicine, Durham, North Carolina","department":""},{"first_name":"Denise","middle_name":"","last_name":"Elizondo","name_suffix":"","institution":"Duke University School of Medicine, Department of Emergency Medicine, Durham, North Carolina","department":""},{"first_name":"Bushra","middle_name":"","last_name":"Hussein","name_suffix":"","institution":"Duke University School of Medicine, Department of Emergency Medicine, Durham, North Carolina","department":""},{"first_name":"Rebecca","middle_name":"G","last_name":"Theophanous","name_suffix":"","institution":"Duke University School of Medicine, Department of Emergency Medicine, Durham, North Carolina; Durham Veterans Affairs Healthcare System, Durham, North Carolina","department":""}],"date_submitted":"2024-06-02T01:47:03.510000Z","date_accepted":"2024-07-25T09:01:21.067000Z","date_published":"2025-01-16T19:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/21291/galley/31526/download/"}]}