Previously diagnosed as costochondritis, chest wall pain that persisted in this patient despite treatment sent clinicians in search of an alternate diagnosis.
Justin Ezell practices in the emergency department at John Peter Smith Hospital, Fort Worth, Texas. Alcario Serros is chief of internal medicine and chair of the Code Blue Committee at Carl R. Darnall Army Medical Center, Fort Hood, Texas. At the time this article was written, the authors were in Iraq with the Fourth Brigade Combat Team, First Cavalry Division, US Army. The authors have indicated no relationships to disclose relating to the content of this article.
Acknowledgment: Special thanks to Major Dawn Orta, PA-C, and Chaplain (Captain) Christopher Moellering for their assistance.