Patel Hardik, Chatla Nick, Khiami Ahmad
Pediatrics, Raleigh General Hospital, Beckley, USA.
Cureus. 2020 Jan 15;12(1):e6669. doi: 10.7759/cureus.6669.
Syncope is a common chief complaint in the emergency department (ED); however, the workup of syncope is quite extensive. Likewise, community-acquired pneumonia (CAP) can also be difficult to diagnose due to the wide range of signs and symptoms, and even a larger list of etiologies. Syncope as a presenting symptom of CAP has demonstrated to be a challenging clinical association to make. We present a case of a previously healthy 14-year-old female who presented to the ED for having an episode of syncope at softball practice. Notable aspects of the case-age of the patient and the obscure presentation, as well as laboratory and imaging results-made this case challenging. Thus, obtaining a thorough history from the patient and family and performing a detailed physical examination can really help a clinician lead to an accurate diagnosis.
晕厥是急诊科常见的主要就诊原因；然而，晕厥的检查过程相当繁杂。同样，社区获得性肺炎（CAP）由于其广泛的体征和症状，以及更多的病因，也可能难以诊断。晕厥作为CAP的首发症状已被证明是一种具有挑战性的临床关联。我们报告一例既往健康的14岁女性病例，该患者因在垒球训练时发生一次晕厥而就诊于急诊科。该病例的显著特点——患者年龄、隐匿的表现以及实验室和影像学检查结果——使该病例具有挑战性。因此，从患者及其家属那里获取详尽的病史并进行详细的体格检查，确实有助于临床医生做出准确的诊断。
