• Jaividhya Dasarathy, Simranjit Gill, Joel Willis, and Christine Alexander.
• Metro Health Medical Center, Case Western Reserve University, Cleveland, Ohio. Electronic address: Jxd114@case.edu.
• Chest. 2018 Sep 1; 154 (3): e69-e72.

Case PresentationA 39-year-old male presented to the ED with a 2-day history of fever (Temperature-Maximum 39°C), nonbloody productive cough, and worsening right-sided pleuritic chest pain. The patient denied shortness of breath, nausea, vomiting, sinus symptoms, and abdominal pain. His medical history included type 2 diabetes mellitus (glycated hemoglobin, 11.1), hyperlipidemia, and depression. He smoked marijuana but denied tobacco or illicit drug use. He reported no recent travels. He reported a 1-week history of left molar pain that began after he siphoned stagnant water with a straw from a refrigerator drip pan. He lived in Ohio all of his life. He denied any sick contacts. His medications include Lantus insulin at night, metformin, glimepiride, pravastatin, and Remeron.Published by Elsevier Inc.

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