A 18-year-old male after trauma: when time and free will challenge the rules
Abstract
- 18 YEAR-OLD MALE, NEVER SMOKER, NO KNOWN ALLERGIES
- WORKER AT A PIG BREEDING FACILITY
- FAMILIAL CLINICAL HISTORY: not relevant
- PAST MEDICAL HISTORY: not relevant
- PHARMACOLOGICAL THERAPY: none
- CLINICAL ONSET: subacute onset of polyarthralgia, fever and dyspnea
Fourteen days prior to admission to the Emergency Department the patient was involved in a motorcycle accident resulting in abrasions to the right thigh. One week later, he developed left hip pain and fever, associated to neutrophils leukocytosis, without evidence of fractures on Computed Tomography (CT) of the pelvis and lower limbs or Chest X-Ray abnormalities.
On physical examination he was febrile, with low oxygen saturation, mild tachycardia and no signs of hemodynamic instability.
Arterial blood gas analysis on room air (Tab. I) revealed type I respiratory failure and elevated lactate levelslaboratory tests results (Tab. I) showed mild neutrophilic leukocytosis and significant rise in inflammatory markers, with no impairment of liver or kidney function and normal electrolytes.
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Licenza
Questo lavoro è fornito con la licenza Creative Commons Attribuzione - Non commerciale - Non opere derivate 4.0 Internazionale.
Copyright
© Associazione Italiana Pneumologi Ospedalieri – Italian Thoracic Society (AIPO – ITS) , 2026
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