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An 83-year-old man with hypertension, type 2 diabetes, hypercholesterolaemia, stage 3 chronic kidney disease and bronchial asthma was admitted to the hospital for community-acquired pneumonia. The patient’s home medications were candesartan, gliclazide, metformin, simvastatin and a combination of inhaled fluticasone and salmeterol; in the hospital, he was treated with intravenous levofloxacin and ceftriaxone. Although his pneumonia improved, on day 4 he experienced sudden pain and swelling in the anterior region of the right arm (figure 1).
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