More frequent and severe pleuritic
pain, and rapid loss of pulmonary function compared with reported observations of populations exposed to other forms of absestos (American Thoracic Society 2004; Whitehouse et al.
Pneumomediastinum should be considered in a patient with severe IBD symptoms who acutely develops pleuritic
chest pain and dyspnea.
The pain is pleuritic
in nature and a pulmonary etiology is suspected.
Nonetheless, dyspnea and pleuritic
chest pain occur in about 85% of patients with pneumothorax.
For the purposes of the study the following criteria were used for the definition of CAP, as described previously:  two or more of the following: altered breath sounds and/or signs of lung consolidation, fever, rigors, sweats and cough, with or without sputum production, pleuritic
chest pain, cyanosis, shortness of breath and tachypnoea, together with radiological confirmation of the diagnosis of pneumonia.
Upon follow up one week later, the patient presented with a painful, swollen left leg and concurrent severe pleuritic
In December 2012, a previously healthy pregnant woman, 38 years of age, at 37 weeks' gestation and in active labor, sought treatment in a New York hospital reporting 2 days of fever, productive cough, shortness of breath, and pleuritic
Adverse reactions (incidence >/=1% and more common than placebo) in subjects receiving umeclidinium/vilanterol 125 mcg/25 mcg were: headache, back pain, sinusitis, cough, urinary tract infection, arthralgia, nausea, vertigo, abdominal pain, pleuritic
pain, viral respiratory tract infection, toothache, and diabetes mellitus.
1,5 Similar to Histoplasma, most primary infections with Coccidioides immitis are asymptomatic, but about 10% develop lung lesions, fever, cough, excess sputum, and pleuritic
pains along with San Joaquin Valley fever complex.
Patients often present with a cough, dyspnoea and a pleuritic
type of chest pain when suffering from a pleural effusion.
The recognized clinical features are fever and pleuritic
chest pain but many patients are asymptomatic.
Table 1 The Cases of Malignancy Associated Adult Onset Still's Disease in Literature Diagnosis Sex Age Clinical features Breast cancer (1) F 52 spiking fevers, transient macular rash, myalgia, arthralgia, sore throat Breast cancer (2) F 49 intermittent fever, polyarthralgias, rash Breast cancer (3) F 45 Polyarthralgia, fever Breast cancer (4) F 52 fever, joint inflammation, pleuritis, and pericarditis Breast cancer (5) F 49 Fever, rash, sore throat Lymphoma (6) M 49 Fever, sore throat, pleuritic
chest discomfort, polyarthritis Lymphoma (7) M 50 fever, arthritis, myalgias.