Stuart Smalheiser, MD; Deborah A. Levine, MD
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Smalheiser S, Levine DA. An “Inexcusable” Case of Muscle Rigidity and Shortness of Breath. Ann Intern Med. 2004;141:162-163. doi: 10.7326/0003-4819-141-2-200407200-00022
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Published: Ann Intern Med. 2004;141(2):162-163.
Editor's Note:The lead author of the following Clinical Observation was one of a dozen Associates of the American College of Physicians selected to present a clinical vignette at the 2003 Annual Session in Philadelphia. We are proud to present this case report through a special arrangement with the Council of Associates of the College.
TO THE EDITOR:
A 60-year-old man reported to the emergency department with shortness of breath. Three weeks before admission, the patient was in his usual state of good health when he sustained a left arm laceration from barbed wire trauma. The wound became red, hot, and purulent several days after this incident. The patient developed increasing left-arm stiffness that progressed to generalized muscle rigidity. On presentation the patient was acutely short of breath and cyanotic and was holding his mouth open to breathe. The patient was promptly intubated for airway protection, sedated, and transferred to the intensive care unit.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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