{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:26:51Z","timestamp":1759336011493},"reference-count":14,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T00:00:00Z","timestamp":1595203200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Patients in the emergency department may experience sudden decompensation despite initially appearing stable.\n\nCase Presentation: A 37-year-old transgender man presented to the emergency department (ED) with several months of fevers, myalgias, and weight loss. The patient acutely became febrile, tachycardic, and hypotensive after an initially reassuring assessment in the ED. \n\nDiscussion: This case takes the reader through the differential diagnosis and work-up of the decompensating patient initially presenting with subacute symptoms.<\/jats:p>","DOI":"10.5811\/cpcem.2020.4.45956","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:13:58Z","timestamp":1597191238000},"page":"277-282","source":"Crossref","is-referenced-by-count":0,"title":["37-year-old Transgender Man with Fevers, Dysuria, and Sudden Decompensation"],"prefix":"10.5811","volume":"4","author":[{"given":"Emily","family":"Fleming","sequence":"first","affiliation":[{"name":"University of Wisconsin University Hospital, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. David","family":"Gatz","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,7,20]]},"reference":[{"doi-asserted-by":"publisher","unstructured":"Saad M, Shaikh DH, Mantri N, et al. Fever is associated with higher morbidity and clot burden in patients with acute pulmonary embolism. BMJ Open Respir Res. 2018;5(1):e000327.","key":"ref0","DOI":"10.1136\/bmjresp-2018-000327"},{"doi-asserted-by":"publisher","unstructured":"Mendez L, Bhoola S, Horowitz I. Bilateral tubo-ovarian abscesses four years after total abdominal hysterectomy. Infect Dis Obstet Gynecol. 1998;6(3):138-40.","key":"ref1","DOI":"10.1002\/(sici)1098-0997(1998)6:3<138::aid-idog8>3.0.co;2-t"},{"unstructured":"Powers K, Lazarou G, Greston WM, et al. Rupture of a tuboovarian abscess into the anterior abdominal wall: a case report. J Reprod Med. 2007;52(3):235-7.","key":"ref2"},{"unstructured":"Lau M, Cross CA, Berens P, et al. Ovarian abscess 15 months after vaginal hysterectomy. A case report. J Reprod Med. 1997;42(10):669-71.","key":"ref3"},{"doi-asserted-by":"publisher","unstructured":"Canas AM, Holloran-Schwartz B, Myles T. Tuboovarian abscess 12 years after total abdominal hysterectomy. Obstet Gynecol. 2004;104(5 Pt 1):1039-41.","key":"ref4","DOI":"10.1097\/01.aog.0000141636.08850.d5"},{"doi-asserted-by":"publisher","unstructured":"Tohya T, Yoshimura T, Onoda C. Tubo-ovarian abscess occurring 16 years after supracervical hysterectomy. Infect Dis Obstet Gynecol. 2003;11(3):167-9.","key":"ref5","DOI":"10.1080\/10647440300025516"},{"doi-asserted-by":"publisher","unstructured":"Ceovic R and Gulin SJ. Lymphogranuloma venereum: diagnostic and treatment challenges. 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JAMA. 2014; 312(18):1905-17.","key":"ref13","DOI":"10.1001\/jama.2014.13259"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T14:49:38Z","timestamp":1600267778000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/7204k238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,20]]},"references-count":14,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,8,6]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.4.45956","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,7,20]]}}}