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37 Possible Causes for Chest Pain Worse when Lying Down, Fever

  • Pericarditis

    […] previously healthy 71-year-old immunocompetent woman from Arizona who presented with a 5-day history of progressive shortness of breath and chest tightness, and subjective fever[] It can be made worse when lying down, coughing , or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate .[] Meningococcal meningitis is a well established potential fatal infection characterized by fever, headache, petechial rash, and vomiting in the majority of cases.[]

  • Acute Pericarditis

    This pericarditis is due to dengue fever.[] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[] These episodes occurred monthly along with a high fever and elevation of the C-reactive protein (CRP) level.[]

  • Diaphragmatic Hernia

    What to call the doctor for: Call the doctor for fevers, worsening breathing, vomiting, pain or any redness/drainage from the incisions.[]

  • Rheumatoid Arthritis

    Familial Mediterranean fever (FMF) is the most common hereditary auto-inflammatory (periodic fever) syndrome, and usually successfully treated with colchicine.[] Heart: inflammation of the tissue surrounding the heart (pericarditis) can cause chest pain, which tends to be worse when lying down.[] The symptoms improved temporarily, but five months later, the fever, skin rash, jaundice, and thrombocytopenia relapsed.[]

  • Pancreatitis

    Seek immediate medical attention if you experience the symptoms of acute pancreatitis, especially severe abdominal pain, vomiting, and fever.[] Symptoms Acute disease: moderate to severe abdominal pain that may spread to the chest, back, and sides (and is often worse when lying down); nausea and vomiting; abdominal[] Typical signs include epigastric tenderness, fever, and tachycardia.[]

  • Phenylbutazone

    After taking this treatment for 1 month, she presented with fever, diarrhea, localized edemas, generalized pruritic papular and erythematous rash and lymphadenopathies.[] This may be due to high blood pressure chest pain, sometimes worse when lying down, difficulty breathing at rest or on exercising wheezing or gurgling sounds when you breathe[] (Indications) This medication is a nonsteroidal anti-inflammatory drug (NSAID), prescribed for fever, pain and inflammation in the body.[]

  • Postcardiac Injury Syndrome

    The post cardiac injury syndrome is characterized by the development of a fever, pleuropericarditis, and parenchymal pulmonary infiltrates in the weeks following trauma to[] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[] The diagnosis was supported by slight fever, elevated inflammatory parameters, and improvement when oral corticosteroids were given.[]

  • Myocardial Abscess

    Fever, chills and signs of pericarditis were the main clinical features.[] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[] Wound discharge, fever, and pain at generator site were the most common presenting features. At presentation they had a median duration of symptoms of 34 days.[]

  • Acute Rheumatic Endocarditis

    (diagnosis) , Acute rheumatism , Fever, Acute Rheumatic , Rheumatic Fevers, Acute , Acute Rheumatic Fever , Acute Rheumatic Fevers , Fevers, Acute Rheumatic , Rheumatic Fever[] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[] Table 2 Differential diagnosis of acute rheumatic fever How is acute rheumatic fever treated?[]

  • Superior Vena Cava Syndrome

    Empiric antibiotics were initiated for persistent fever with initial improvement seen.[] Dyspnea may be worse when leaning forward or lying down. Arm swelling is another common symptom of SVC syndrome.[] A 28-year-old dialysis-dependent woman with IgA nephropathy developed facial swelling, head pressure, headache, nausea, dizziness and fever 6 weeks after right internal jugular[]

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