40 yo M with IVDU and left shoulder pain

Case and content by Shannon McConnaughey, MD
Expert radiology interpretation by David Godwin, MD


CASE:

40 yo man with active IV drug use presents with acute left shoulder pain.  Pain developed three days ago but he is now experiencing fever, chills, mild left arm weakness and left sided pleuritic upper chest pain.

Describe the left upper lobe opacity


DIAGNOSIS AND OUTCOME:

TAKE HOME POINTS:


REFERENCES:

  1. Munoz-Fernandez, S, et al. “Osteoarticular Infection in Intravenous Drug Abusers: Influence of HIV Infection and Differences with Non Drug Abusers.” Annals of the Rheumatic Diseases, vol. 52, no. 8, Jan. 1993, pp. 570–574., doi:10.1136/ard.52.8.570.
  2. Kono, Scott A., and Trenton D. Nauser. “Contemporary Empyema Necessitatis.” The American Journal of Medicine, vol. 120, no. 4, 2007, pp. 303–305., doi:10.1016/j.amjmed.2006.09.019.