ABSTRACT
An 11-year-old girl with sickle cell disease (SCD) hemoglobin SS is brought in by her mother with a complaint of nonproductive cough and fever to 38.7°C for one day. She is complaining of chest pain that is made worse with coughing and deep inspiration. She has a history of vaso-occlusive pain crisis starting at 18 months of age, typically presenting with upper and lower extremity pain. She has not had other complications associated with sickle cell disease. She has never received transfusion of any blood products.
