{"pk":884,"title":"37-year-old Transgender Man with Fevers, Dysuria, and Sudden Decompensation","subtitle":null,"abstract":"Introduction:\n Patients in the emergency department may experience sudden decompensation despite initially appearing stable.\nCase Presentation:\n A 37-year-old transgender man presented to the emergency department (ED) with several months of fevers, myalgias, and weight loss. The patient acutely became febrile, tachycardic, and hypotensive after an initially reassuring assessment in the ED.\nDiscussion:\n This case takes the reader through the differential diagnosis and work-up of the decompensating patient initially presenting with subacute symptoms.","language":"en","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":"Clinicopathological cases"},{"word":"Infectious disease"},{"word":"drug reaction"}],"section":"Clinicopathological Cases","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7204k238","frozenauthors":[{"first_name":"Emily","middle_name":"R.","last_name":"Fleming","name_suffix":"","institution":"University of Wisconsin University Hospital, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":"None"},{"first_name":"J. David","middle_name":"","last_name":"Gatz","name_suffix":"","institution":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland","department":"None"}],"date_submitted":"2020-07-21T07:18:17+10:00","date_accepted":"2020-07-21T07:18:17+10:00","date_published":"2020-07-21T07:20:50+10:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/884/galley/632/download/"}]}