May 2014 critical care case of the month: second wind

Southwest Journal of Pulmonary and Critical Care

Viggiano RW¹  Sakata KK¹  Penupolu S¹ 

[1]Mayo Clinic Arizona, Scottsdale, AZ

关键词: influenza;    aspergilloma;    secondary infection;    hemoptysis;    complication;    respiratory failure;    bronchoscopy;    colonization;    pneumonia;    consolidation;   

DOI  :  10.13175/swjpcc033-14

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after 150 words. History of Present Illness A 65 year old woman was admitted for gastrointestinal bleeding as evidence by hematochezia. At the time of admission she denied any respiratory symptoms other than mild dyspnea. However, she rapidly developed respiratory failure, was transferred to the ICU and required emergent intubation. PMH, FH, SH She has a history of rheumatoid arthritis with a cervical spine fusion. There is also a history of sarcoidosis and she was receiving prednisone 30 daily up until the time of admission. There is no significant family history. She does not smoke or drink. Physical Examination Afebrile. Pulse 78. BP 105/65 mm Hg. Respirations: 28. SpO2 96% while receiving an FiO2 of 60% at the time of transfer to the ICU. Neck: No jugular venous distention. Lungs: Scattered rales and rhonchi. Cardiovascular: Regular rhythm. Abdomen: no hepatosplenomegaly. Radiography A portable chest x-ray taken after intubation is shown in figure 1…

【 授权许可】

Unknown