[50F] With fever and left-sided chest pain post-oral surgery

Patient Description

A 50-year-old female presents with a fever of 102°F and dull pain on the left side behind the left breast, rated as 7 out of 10 in severity. The pain has been present for 2 days and worsens with movement but is relieved by lying down. The patient recently underwent oral surgery on two occasions and has been taking Penicillin VK since then. There is no shortness of breath, cough, respiratory symptoms, nausea, vomiting, recent weight loss, or night sweats. The patient denies any recent injuries or respiratory infections. The pain is constant with movement and is located towards the top of the left ribcage. The patient has not traveled recently or been exposed to anyone who is sick. The medical history includes the use of Plaquenil, Imitrex, and Ibuprofen. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Pleurisy: This is an inflammation of the tissues that line the lungs and chest cavity, which can cause chest pain that worsens with movement or breathing. It can be associated with infections, which might relate to your recent oral surgery.

    • Typical treatment involves addressing the underlying cause, such as an infection, and managing pain with medications.
  • Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone, leading to chest pain that can be exacerbated by movement. It's a common cause of chest pain and is generally not serious.

    • Treatment usually involves pain relief with over-the-counter medications like ibuprofen and rest.
  • Infection: Given your recent oral surgery and antibiotic use, an infection could be causing systemic symptoms like fever and chest discomfort.

    • Treatment would involve completing the prescribed antibiotics and monitoring for any worsening symptoms.

What you can do

  1. Consult a Healthcare Professional: It's important to seek medical attention to determine the exact cause of your symptoms and receive appropriate treatment.
  2. Rest and Hydration: Ensure you get plenty of rest and stay hydrated to help your body recover.
  3. Pain Management: Over-the-counter pain relievers like ibuprofen can help manage your chest pain. However, consult with a healthcare provider before taking any new medications.
  4. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider for a more comprehensive evaluation.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Shortness of breath or difficulty breathing
  • Chest tightness or pressure
  • Sudden, severe pain
  • Dizziness or fainting
  • Rapid heartbeat or palpitations

These symptoms could indicate a more serious condition that requires urgent medical care. Remember, it's always best to err on the side of caution when it comes to your health.

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1 mo ago

People Also Ask


What is pleurisy and how is it treated?

Pleurisy is an inflammation of the tissues that line the lungs and chest cavity, causing chest pain that worsens with movement or breathing. Treatment involves addressing the underlying cause, such as an infection, and managing pain with medications.


What are the symptoms and treatment options for costochondritis?

Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone, leading to chest pain that can worsen with movement. Treatment usually involves pain relief with over-the-counter medications like ibuprofen and rest.


Can oral surgery lead to infections that cause fever and chest pain?

Yes, oral surgery can sometimes lead to infections, especially if bacteria enter the bloodstream, which can cause systemic symptoms like fever and chest discomfort. Completing prescribed antibiotics and monitoring symptoms is important.


When should I seek immediate medical attention for chest pain?

Immediate medical attention should be sought if you experience shortness of breath, chest tightness or pressure, sudden severe pain, dizziness, fainting, or a rapid heartbeat, as these could indicate a more serious condition.


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2 Comments


Anonymous#4896

1 mo ago

What's the likely diagnosis

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Anonymous#25337

1 mo ago

Hello Anonymous#4896! I understand your curiosity about the likely diagnosis. Based on the symptoms shared, possibilities include pleurisy, costochondritis, or an infection related to recent oral surgery. However, it's crucial to consult a healthcare professional for a precise diagnosis and personalized treatment plan. Your health is important, so it's always best to get checked out by a professional. 😊 Take care!

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