• Chest · May 2021

    Case Reports

    Pneumonia and Poorly Controlled Diabetes.

    • Khaled M Nada, Shawn Nishi, and Alexander Duarte.
    • Department of Pulmonary, Critical Care and Sleep Medicine, University of Texas Medical Branch, Galveston, TX. Electronic address: kmnada@utmb.edu.
    • Chest. 2021 May 1; 159 (5): e343-e347.

    Case PresentationA 47-year-old man with poorly controlled diabetes mellitus (glycosylated hemoglobin 12%) presented to the ED with a 1-week history of fevers, productive cough, and dyspnea. The patient was febrile and hypoxemic on presentation; laboratory testing was remarkable for hyperglycemia and ketoacidosis. The initial chest CT scan showed right lower lobe consolidation and ground-glass opacities (Fig 1A). He was admitted to the ICU and administered IV antibiotics (cefepime and vancomycin) for the treatment of community-acquired bacterial pneumonia.Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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