Abstract

1. Case Description
A 36-year-old female presented to the emergency department with shortness of breath, non-productive cough, and right shoulder pain that began three weeks prior to admission. She had a history of abnormal uterine bleeding requiring placement of a nonhormonal intrauterine device insertion ten years prior to admission. On physical examination, her temperature was 102.3 degrees Fahrenheit and her initial laboratory data demonstrated
a leukocytosis of 32,000 x 109 ,Procalcitonin of 310 ng/mL, creatinine of 2.0mg/dL.