Endocrine Case Report: Buttock Pain

Article

Our latest emergency department quiz from Brady Pregerson, MD, features a woman in her 40’s presenting with 3 days of generalized malaise and worsening left buttock pain with subjective fevers. Check out the CT and see if you can determine the correct diagnosis.

History: A female in her 40’s presents to the hospital for 3 days of generalized malaise and worsening left buttock pain with subjective fevers. She denies any abdominal pain but did vomit once. She denies chills, back pain or any other complaints.

Exam: Vital signs were a bit soft: pulse 102, BP 92/51 with a shock index >1.0 (HR/SBP). Physical exam was otherwise normal except for a red swollen left buttock

Testing:

· WBC = 17.2 with 16 bands.

· Lactic acid = 2.6

· CT: See image below

CT scan of a patient's buttock.

What is the most likely diagnosis?


Recent Videos
Brendon Neuen, MBBS, PhD | Credit: X.com
HCPLive Five at ADA 2024 | Image Credit: HCPLive
Ralph DeFronzo, MD | Credit: UT San Antonio
Timothy Garvey, MD | Credit: University of Alabama at Birmingham
Atul Malhotra, MD | Credit: Kyle Dykes; UC San Diego Health
Optimizing Diabetes Therapies with New Classifications
Should We Reclassify Diabetes Subtypes?
Roger S. McIntyre, MD: GLP-1 Agonists for Psychiatry?
Daniel Gaudet, MD, PhD | Credit: American College of Cardiology
© 2024 MJH Life Sciences

All rights reserved.