Shortness of breath, fever—and pain in both legs

  title={Shortness of breath, fever—and pain in both legs},
  author={Ching-Wei Chang and Tsang‐En Wang and Shou Chuan Shih and Wen-Hsiung Chang and Ming‐Jen Chen},
  journal={The Lancet},
In April, 2006, a 60-year-old man with poorly controlled diabetes came to our emergency department with a 1-week history of pain in both legs and shortness of breath, accompanied by fever, chills, and sweating. He had no recent leg injury, and no history of clotting disorder. His temperature was 38∙7°C; he had tachycardia (140 beats per min) and tachypnoea (28 breaths per min). His blood pressure was 130/70 mm Hg. Both ankles looked slightly swollen and were tender to palpation, but we saw no… 
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