345 results match your criteria Case reports in critical care[Journal]


Acute Fatty Liver Disease of Pregnancy in the Second Trimester.

Case Rep Crit Care 2020 15;2020:6705784. Epub 2020 Jun 15.

Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, College of Medicine, University of Florida, 1600 SW Archer Road, P.O. Box 100225, Gainesville, FL 32610-0225, USA.

Acute fatty liver of pregnancy (AFLP) is a rare disorder that typically presents in the third trimester. We report a case of a 21-year-old woman with a history of intrauterine fetal demise at 19 weeks' gestation who developed fulminant liver failure 1 week after the fetal demise. She was diagnosed with AFLP as per the Swansea criteria. Read More

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http://dx.doi.org/10.1155/2020/6705784DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315284PMC

The Use of Exogenous Lung Surfactant (Poractant Alfa) in Acute Respiratory Failure by Drowning.

Case Rep Crit Care 2020 6;2020:9270791. Epub 2020 Jun 6.

Anesthesia and Intensive Care Department, University Department of Thoracic Surgery General Hospital "Pugliese-Ciaccio", Catanzaro, Italy.

Drowning is an acute respiratory failure as a result from immersion or submersion of the airways in a liquid medium (predominantly water). Inhalation of water causes severe lung damage due to the destruction of pulmonary surfactant, resulting in decreased lung elasticity, alveolar collapse, alteration of ventilation-perfusion ratio, intrapulmonary blood shunting, hypoxia, acute lung injury, and Acute Respiratory Distress Syndrome (ARDS). Poractant alfa (Curosurf®), a natural surfactant effective in the treatment of newborn respiratory distress, has been used in various forms of ARDS, but in drowning syndromes, experience is still poor. Read More

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http://dx.doi.org/10.1155/2020/9270791DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294348PMC

A Case of Pulmonary Cement Embolism Managed through Symptomatic Treatment.

Case Rep Crit Care 2020 4;2020:2425973. Epub 2020 Jun 4.

Advent Health, Orlando, FL, USA.

Objective: This case describes symptomatic pulmonary cement embolism as a rare postvertebroplasty complication and highlights its critical yet ill-defined management.

Background: Pulmonary cement embolism (PCE) is a feared complication of vertebroplasty in the treatment of vertebral fractures. While the majority of PCEs are asymptomatic, symptomatic PCEs often present with chest pain, tachycardia, signs of severe respiratory distress, and death. Read More

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http://dx.doi.org/10.1155/2020/2425973DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7293736PMC

A Fatal Case of Primary Amoebic Meningoencephalitis from Recreational Waters.

Case Rep Crit Care 2020 28;2020:9235794. Epub 2020 May 28.

Department of Medicine, AtlantiCare Regional Medical Center, Atlantic City, NJ, USA.

Background: Naegleria Fowleri is a single-cell, thermophilic amphizoid amoeba, and a rare known causative agent for primary amoebic meningoencephalitis with >97% mortality rate. The amoeba resides in freshwater lakes and ponds but can also survive in inadequately chlorinated pools and recreational waters. The mode of infection includes activities such as diving or jumping into freshwater or submerging the head under the water. Read More

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http://dx.doi.org/10.1155/2020/9235794DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275226PMC

A Rare Case of ARDS Caused by Bupropion Inhalation and Treated with Noninvasive Ventilation.

Case Rep Crit Care 2020 28;2020:5107456. Epub 2020 May 28.

Department of Pulmonary/Critical Care, Pennsylvania Hospital, University of Pennsylvania Health System (UPHS), Philadelphia PA, USA.

Acute respiratory distress syndrome, characterized by the Berlin criteria, is associated with a high mortality rate. Its treatment includes addressing the underlying etiology, general supportive measures, and achievement of effective oxygenation. New key data indicates that in a subset of patients, noninvasive ventilation techniques can be a therapeutic and equivalent alternative to traditional invasive ventilation. Read More

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http://dx.doi.org/10.1155/2020/5107456DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275235PMC

Delayed Diagnosis of a Diffuse Invasive Gastrointestinal Aspergillosis in an Immunocompetent Patient.

Case Rep Crit Care 2020 23;2020:3601423. Epub 2020 May 23.

Intensive Care Unit, Anesthesiology Department, Bürgerspital Solothurn, Switzerland.

Invasive aspergillosis represents a clinical picture frequently associated with host's immunosuppression which usually involves a high morbidity and mortality. In general, the most frequent fungal entry is the lungs with secondary hematogenous dissemination, but there are other hypotheses like a gastrointestinal portal of entry. There are some rare publications of cases with invasive aspergillosis in immunocompetent patients. Read More

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http://dx.doi.org/10.1155/2020/3601423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271229PMC

Brain Death Secondary to Rocky Mountain Spotted Fever Encephalitis.

Case Rep Crit Care 2020 1;2020:5329420. Epub 2020 May 1.

Ryan White Center for Pediatric Infectious Disease and Global Health, Indiana University School of Medicine, Indianapolis, Indiana, USA.

A two-year-old female presented with acutely altered mental status following eight days of fever and rash. She had been camping at an Indiana campground 11 days prior to the onset of illness and was evaluated twice for her fever and rash prior to admission. Laboratory evaluation on admission revealed thrombocytopenia, hyponatremia, and elevated transaminases. Read More

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http://dx.doi.org/10.1155/2020/5329420DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218968PMC

Fatal Cerebral Edema in a Young Adult with Diabetic Ketoacidosis: Blame the Bicarbonate?

Case Rep Crit Care 2020 30;2020:5917459. Epub 2020 Apr 30.

Rush University Medical Center, 1750 W Harrison St., Jelke Building South, Suite 444, Chicago, IL 60612, USA.

Cerebral edema is a devastating complication of DKA which is extremely rare in adults but is the leading cause of diabetes-related death in the pediatric population. Newly diagnosed diabetes, younger age, first episode of DKA, severity of DKA at presentation, and administration of bicarbonate are predictive of cerebral edema in DKA. We present a case of a young adult with DKA as the presenting symptom of diabetes, whose clinical course was complicated by renal failure, refractory shock, and cerebral edema. Read More

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http://dx.doi.org/10.1155/2020/5917459DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210517PMC

ARDS and Massive Pulmonary Embolism: The Combined Use of Extracorporeal Membrane Oxygenation (ECMO) with Thrombolytics.

Case Rep Crit Care 2020 28;2020:1032629. Epub 2020 Apr 28.

Departments of Emergency Medicine and Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Pancreatitis causes a systemic inflammatory response that can lead to acute respiratory distress syndrome (ARDS). We present a case of severe ARDS complicated by a pulmonary embolism (PE) in a 39-year-old female that developed rapidly progressive pancreatitis secondary to hypertriglyceridemia. Read More

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http://dx.doi.org/10.1155/2020/1032629DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204351PMC

Coccidioidomycosis of the Vocal Cords Presenting in Sepsis: A Case Report and Literature Review.

Case Rep Crit Care 2020 20;2020:8025391. Epub 2020 Apr 20.

Department of Emergency Medicine, Arrowhead Regional Medical Center, Colton, CA, USA.

Coccidioidomycosis is a predominantly pulmonary disease caused by species of , a fungus endemic to the American Southwest. Most cases involve exclusively pulmonary manifestations while less than one percent present with disseminated infection, usually with meningeal or skin involvement. In this case, a patient with a history of odynophagia, sore throat, productive cough, weight loss, and abnormalities on chest radiograph presented with sepsis and diabetic ketoacidosis. Read More

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http://dx.doi.org/10.1155/2020/8025391DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189307PMC

It Is Always Early with Point-of-Care Ultrasound.

Case Rep Crit Care 2020 4;2020:9431496. Epub 2020 Apr 4.

Critical Care Unit, Ahmadi Hospital, Kuwait Oil Company, P.O. Box 46468, 64015 Fahaheel, Kuwait.

A 56-year-old male was admitted to the emergency department for acute pulmonary edema and septic shock, yet no clear source of infection was noted upon physical examination. Due to his unstable condition, bedside ultrasound was performed. A heterogeneous mass in the liver was noted; hence, a tentative diagnosis of liver abscess was made. Read More

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http://dx.doi.org/10.1155/2020/9431496DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165353PMC

Acute Pancreatitis Induced by Diabetic Ketoacidosis with Major Hypertriglyceridemia: Report of Four Cases.

Case Rep Crit Care 2020 2;2020:7653730. Epub 2020 Apr 2.

Department of Intensive Care, HabibBourguiba University Hospital, Sfax, Tunisia.

Acute pancreatitis (AP) is a real clinical challenge. Acute pancreatitis remains a common cause of emergency department consultations and a major cause for hospitalization. Gallstones and drinking a lot of alcohol are the most frequent causes of AP. Read More

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http://dx.doi.org/10.1155/2020/7653730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160714PMC

Critical Care Admission of an HIV Patient with Diabetic Ketoacidosis Secondary to Pembrolizumab.

Case Rep Crit Care 2020 25;2020:8671530. Epub 2020 Mar 25.

Department of Critical Care & Respiratory Care, Division of Anesthesiology, Critical Care and Pain Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Background: Pembrolizumab is a checkpoint inhibitor that targets the programmed cell death-1 receptor (PD-1) and has shown to be effective against several malignancies, including lung cancer. However, life-threatening immune-related adverse events can result from these immunotherapy treatments. . Read More

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http://dx.doi.org/10.1155/2020/8671530DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132356PMC

Wanting to Forget: Intrusive and Delusional Memories from Critical Illness.

Case Rep Crit Care 2020 24;2020:7324185. Epub 2020 Mar 24.

Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

. Delusional and fearful memories after critical illness are observed in up to 70% of patients post critical illness. However, they often go unrecognized after patients leave the intensive care unit (ICU). Read More

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http://dx.doi.org/10.1155/2020/7324185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7128039PMC

Considerations in Neuromuscular Blockade in the ICU: A Case Report and Review of the Literature.

Case Rep Crit Care 2020 7;2020:8780979. Epub 2020 Mar 7.

Department of Intensive Care, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, Netherlands.

Neuromuscular blocking agents are regularly used in the intensive care unit (ICU) to facilitate mechanical ventilation in patients with acute respiratory distress syndrome and patient-ventilator dyssynchronies. However, prolonged neuromuscular blockade is associated with adverse effects like ICU-acquired weakness. Residual neuromuscular blockade is, however, not routinely monitored in the intensive care unit, and as such, this phenomenon might be unrecognized and underreported. Read More

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http://dx.doi.org/10.1155/2020/8780979DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081022PMC

Diagnostic Pitfall of Platypnea-Orthodeoxia Syndrome Caused by Atrial Septal Defect after Right Pneumonectomy.

Case Rep Crit Care 2020 20;2020:4257185. Epub 2020 Feb 20.

Department of Anaesthesiology and Intensive Care, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.

We describe a case of platypnea-orthodeoxia syndrome (POS) due to atrial septal defect (ASD) occurring in the early postoperative course of a right pneumonectomy. Deformation of the atrial septum after right pneumonectomy deviates the blood from the inferior vena cava to ASD during the sitting position creating, a massive right-to-left shunt. Diagnosis can initially be missed by making contrast bubble test through the superior vena cava. Read More

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http://dx.doi.org/10.1155/2020/4257185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054779PMC
February 2020

Acetazolamide Intoxication in an Elderly Patient with Diabetes and Chronic Renal Failure after Cataract Surgery.

Case Rep Crit Care 2020 31;2020:3764972. Epub 2020 Jan 31.

Intensive Care Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.

Carbonic anhydrase inhibitors, such as acetazolamide, are widely used in the treatment of open-angle glaucoma. Severe metabolic acidosis is a rare complication of acetazolamide use, and life-threatening acidosis occurs most commonly in elderly patients, in patients with advanced renal failure, and in patients with diabetes. We describe an unusual case of an elderly patient with diabetic nephropathy and chronic renal failure who presented to the emergency department with severe metabolic acidosis and coma after exposure to high doses of acetazolamide in the postoperative period of ophthalmic surgery. Read More

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http://dx.doi.org/10.1155/2020/3764972DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016476PMC
January 2020

Dosing of Antimycotic Treatment in Sepsis-Induced Liver Dysfunction by Functional Liver Testing with LiMAx®.

Case Rep Crit Care 2019 26;2019:5362514. Epub 2019 Dec 26.

Department of Anesthesiology, Surgical Intensive Care, Emergency and Pain Medicine, Ruhr University Bochum, Klinikum Herford, Herford, Germany.

Background: Sepsis-treatment is one of the major challenges in our time. Especially fungal infections play an important role in patient's morbidity and mortality. In patients with septic shock, liver function is often significantly impaired and therefore also hepatic drug metabolism is altered. Read More

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http://dx.doi.org/10.1155/2019/5362514DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948309PMC
December 2019

Acute Liver Failure as the Leading Manifestation of Spontaneous Tumour Lysis Syndrome in a Patient with NonHodgkin Lymphoma: Do Current Diagnostic Criteria of Tumour Lysis Syndrome Need Re-Evaluation?

Case Rep Crit Care 2019 26;2019:2358562. Epub 2019 Dec 26.

Department of Anaesthesiology and Intensive Care Medicine, Clinical Hospital Centre Rijeka, Krešimirova 42, 51000 Rijeka, Croatia.

Tumour lysis syndrome (TLS) is a group of pathophysiological processes caused by rapid degradation of tumour cells with subsequent release of intracellular contents into the extracellular space. It is characterized by the development of systemic metabolic disturbances with or without clinical manifestations. The process usually occurs in highly proliferative, large tumours after induction of cytotoxic therapy. Read More

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http://dx.doi.org/10.1155/2019/2358562DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948293PMC
December 2019

Liver Transplantation for Acute Liver Failure Attributed to Leptospirosis: A Report of Two Cases.

Case Rep Crit Care 2019 17;2019:5189542. Epub 2019 Dec 17.

Hospices Civils de Lyon, Hôpital de la Croix-Rousse, Service d'Anesthésie Réanimation, 103 Grande Rue de la Croix-Rousse, 69004 Lyon Cedex, France.

Background: Leptospirosis is a zoonosis caused by pathogenic spirochetes of the genus Leptospira. Although it may be limited to nonspecific fever, leptospirosis may also be responsible for neurological symptoms or fulminant diseases such as Weil's disease. Diagnosis is challenging due to the difficulty in isolating the organism and the delays required for performing the serological test. Read More

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http://dx.doi.org/10.1155/2019/5189542DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942725PMC
December 2019

Amniotic Fluid Embolism Treated with Veno-Arterial Extracorporeal Membrane Oxygenation.

Case Rep Crit Care 2019 21;2019:4589636. Epub 2019 Dec 21.

Kaweah Delta Medical Center, Visalia, CA, USA.

Amniotic fluid embolism (AFE) is an extremely rare yet fatal obstetric emergency. AFE presents as sudden cardiovascular collapse after a breach of maternal-fetal membranes and is often complicated by severe coagulopathy. We present a case where an AFE was treated with veno-arterial extracorporeal membrane oxygenation (ECMO) to help overcome the acute cardiopulmonary insult. Read More

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http://dx.doi.org/10.1155/2019/4589636DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942779PMC
December 2019

Myogenic Disease and Metabolic Acidosis: Consider Multiple Acyl-Coenzyme A Dehydrogenase Deficiency.

Case Rep Crit Care 2019 21;2019:1598213. Epub 2019 Dec 21.

Intensive Care Unit, Amiens University Medical Center, F-80000 Amiens, France.

Background: Multiple acyl-coA dehydrogenase deficiency (MADD) is a rare, inherited, autosomal-recessive disorder leading to the accumulation of acylcarnitine of all chain lengths. Acute decompensation with cardiac, respiratory or hepatic failure and metabolic abnormalities may be life-threatening.

Case Presentation: A 29-year-old woman presented with severe lactic acidosis associated with intense myalgia and muscle weakness. Read More

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http://dx.doi.org/10.1155/2019/1598213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942752PMC
December 2019

Posterior Reversible Encephalopathy in a Patient with Severe Leptospirosis Complicated with Pulmonary Haemorrhage, Myocarditis, and Acute Kidney Injury.

Case Rep Crit Care 2019 17;2019:6498315. Epub 2019 Dec 17.

Consultant Intensivist, National Hospital of Sri Lanka, Colombo, Sri Lanka.

Severe leptospirosis (Weil's disease) can give rise to multiorgan failure such as acute renal failure, liver dysfunction, coagulopathy, acute respiratory distress syndrome, pulmonary haemorrhage, and myocarditis. Leptospirosis is a biphasic disease characterised by leptospiraemic phase and immunological phase. Although neurological manifestations are rare in leptospirosis, aseptic meningitis, myeloradiculopathy, transverse myelitis, and cerebellar syndrome are well recognised. Read More

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http://dx.doi.org/10.1155/2019/6498315DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935792PMC
December 2019

A Case of Linezolid Toxicity Presenting as a Sepsis Mimic.

Case Rep Crit Care 2019 17;2019:2157674. Epub 2019 Dec 17.

Department of Medicine, BronxCare Health System, NY, USA.

Linezolid is an efficacious and well tolerated antimicrobial but can have serious adverse effects including myelo-suppression, serotonin syndrome, neuropathy, hypoglycemia, liver dysfunction, and lactic acidosis. The side effects are generally duration dependent; linezolid use is not recommended for more than 28 days. A 59-year-old female presented with malaise, loss of appetite, and altered mentation. Read More

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http://dx.doi.org/10.1155/2019/2157674DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935787PMC
December 2019

A Delayed Diagnosis of Hemorrhagic Shock in a Patient with Alcoholic Cirrhosis and Ascites on Bedside Ultrasound.

Case Rep Crit Care 2019 10;2019:5895801. Epub 2019 Dec 10.

Department of Internal Medicine, Arrowhead Regional Medical Center, Colton, CA, USA.

Undifferentiated shock is a common and challenging problem in critical care. We present a case of hemorrhagic shock due to splenic and hepatic lacerations diagnosed by bedside paracentesis, initially misclassified as septic shock due to suspected spontaneous bacterial peritonitis (SBP). . Read More

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http://dx.doi.org/10.1155/2019/5895801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925761PMC
December 2019

An Unusual Benign Cause of an Alarming Finding on Chest-X ray: A Case Report of Widened Mediastinum due to Rare Congenital Abnormality (Azygos Vein Continuation of Inferior Vena Cava).

Case Rep Crit Care 2019 9;2019:3457495. Epub 2019 Dec 9.

Department of Medicine and Pulmonary Critical Care, New York Medical College at Saint Joseph's University Medical Center, 703 Main St., Paterson, NJ, USA.

Acute widened mediastinum is an alarming finding. It has many possible differential diagnoses; aortic dissection (AD) is considered one that carries catastrophic outcomes. AD is relatively uncommon; it requires early and accurate diagnosis and treatment for better patient survival. Read More

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http://dx.doi.org/10.1155/2019/3457495DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925908PMC
December 2019

Cerebral Venous Sinus Thrombosis and Hydrocephalus in a Vegan Secondary to Acquired Hyperhomocystinaemia.

Case Rep Crit Care 2019 10;2019:1468704. Epub 2019 Dec 10.

Consultant Intensivist, National Hospital of Sri Lanka, Colombo, Sri Lanka.

Cerebral venous sinus thrombosis associated with acute hydrocephalus and periventricular leukoencephalopathy is a challenging combination, in a critically ill with deteriorating neurology. We report a case of a young man with acute onset neuropsychiatric manifestations, admitted to the intensive care unit. He was found to have widespread cerebral venous sinus thrombosis, hyperintensities in basal ganglia, and acute hydrocephalus in magnetic resonance imaging, necessitating cerebrospinal fluid diversion, by way of an external ventricular drain and therapeutic anticoagulation. Read More

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http://dx.doi.org/10.1155/2019/1468704DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925765PMC
December 2019

Pneumonia, an Unusual Initial Presentation of Neonatal Herpes Infection.

Case Rep Crit Care 2019 30;2019:9594289. Epub 2019 Oct 30.

Neonatal Intensive Care Unit, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.

Neonatal herpes simplex virus (HSV) infection is a life-threatening infection with high morbidity and mortality rates. Neonatal herpes, most commonly due to HSV type 2, is a multi-system disease; however, initial pulmonary presentation is extremely unusual. We describe an infant presenting with progressive respiratory distress, which was the dominant clinical feature of HSV infection during the first days of life. Read More

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http://dx.doi.org/10.1155/2019/9594289DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875420PMC
October 2019

The Conundrum of Septic Shock Imitators in Patients with Hematologic Cancers: Case Presentation and Possible Differential Diagnoses.

Case Rep Crit Care 2019 10;2019:6561018. Epub 2019 Sep 10.

Department of Pathology, University of Trieste, Italy.

The authors describe the case of a patient treated with several cycles of chemotherapy due to an advanced stage non-Hodgkin lymphoma. One daafter the last cycle, he was admitted to our Intensive Care Unit with a septic shock-like clinical picture which didn't respond to the aggressive treatment and the patient died a few hours later. The autoptical findings cast some doubts on the diagnosis, and demonstrated the presence of other factors imitating its symptoms. Read More

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http://dx.doi.org/10.1155/2019/6561018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754887PMC
September 2019
1 Read

Super-Refractory Status Epilepticus Treated with High Dose Perampanel: Case Series and Review of the Literature.

Case Rep Crit Care 2019 2;2019:3218231. Epub 2019 Sep 2.

Cerebrovascular Center, Neurological Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Introduction: Acute symptomatic seizures are frequent in the critically ill patient and can be difficult to treat. The novel anticonvulsant perampanel may be effective in the treatment of status epilepticus considering its mechanism of action of being an AMPA antagonist. We present four cases of super refractory status epilepticus treated with high dose perampanel. Read More

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http://dx.doi.org/10.1155/2019/3218231DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745135PMC
September 2019
1 Read

Euglycemic Diabetic Ketoacidosis in Pregnancy: A Case Report and Review of Current Literature.

Case Rep Crit Care 2019 20;2019:8769714. Epub 2019 Aug 20.

Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida College of Medicine, Gainesville, FL, USA.

Diabetic ketoacidosis (DKA) in pregnancy is associated with high fetal mortality rates. A small percentage of DKA occurs in the absence of high glucose levels seen in traditional DKA. Prompt recognition and management is crucial. Read More

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http://dx.doi.org/10.1155/2019/8769714DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721267PMC
August 2019
3 Reads

Severe ARDS Complicating an Acute Intentional Cresol Poisoning.

Case Rep Crit Care 2019 20;2019:6756352. Epub 2019 Aug 20.

Department of Anesthesiology and Intensive Care A1, Hassan II Academic Hospital, Fez, Morocco.

Cresol is a phenol derivative used as a disinfectant that may cause gastrointestinal corrosive injury, central nervous system, cardiovascular disturbances, renal, and hepatic injury following intoxication. We present a case of a female patient who was admitted to the emergency department after ingesting an unknown amount of cresol; she was admitted with tachypnea, shortness of breath with low oxygen level in the blood. She did not develop hepatic or renal dysfunction. Read More

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http://dx.doi.org/10.1155/2019/6756352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721468PMC
August 2019
1 Read

Severe Type B Lactic Acidosis in a Rare and Aggressive HIV-Related Lymphoma.

Case Rep Crit Care 2019 20;2019:4642925. Epub 2019 Aug 20.

Department of Medicine, Section of Hematology, Lewis Katz School of Medicine at Temple University Hospital, Philadelphia, PA 19140, USA.

We describe the prognostic implication and aggressive clinical course of lymphoma-related lactic acidosis in a rare HIV-related lymphoma. Patient was diagnosed with plasmablastic lymphoma and developed severe lactic acidosis, and was treated on the medical floor and in the medical intensive care unit. Her lactic acidosis was considered to be type B, secondary to her underlying lymphoma since she never had an infectious source, hypovolemic state, or low/high cardiac-output state. Read More

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http://dx.doi.org/10.1155/2019/4642925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6721109PMC
August 2019
1 Read

Successful Use of Renal Replacement Therapy for Refractory Hypokalemia in a Diabetic Ketoacidosis Patient.

Case Rep Crit Care 2019 14;2019:6130694. Epub 2019 Aug 14.

Department of Medicine, Saint Joseph's University Medical Center, 703 Main St, Paterson, NJ, USA.

A 39-year-old African-American female presented to the emergency department with a seven-day history of right upper quadrant abdominal pain accompanied by nausea, vomiting, and diarrhea. She was noted to be alert and following commands, but tachypneic with Kussmaul respirations; and initial laboratory testing supported a diagnosis of diabetic ketoacidosis (DKA) and hypokalemia. To avoid hypokalemia-induced arrhythmias, insulin administration was withheld until a serum potassium (K) level of 3. Read More

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http://dx.doi.org/10.1155/2019/6130694DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710747PMC
August 2019
6 Reads

Use of Direct Hemoperfusion with Polymyxin B-Immobilized Fiber for the Treatment of Septic Shock Complicated with Lemierre Syndrome Caused by .

Case Rep Crit Care 2019 30;2019:5740503. Epub 2019 Jul 30.

Department of Critical Care, Disaster and General Medicine, School of Medicine, Iwate Medical University, 19-1 Utimaru, Morioka City, Iwate 020-8505, Japan.

We report a case of septic shock treated with PMX-DHP that was complicated with Lemierre syndrome caused by . The patient was a 31-year-old man who was initially diagnosed with influenza. He received treatment; however, because his symptoms gradually worsened, he was transported to our hospital 10 days following his diagnosis. Read More

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http://dx.doi.org/10.1155/2019/5740503DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701397PMC
July 2019
2 Reads

Cardiogenic Shock due to Kounis Syndrome following Cobra Bite.

Case Rep Crit Care 2019 4;2019:5185716. Epub 2019 Aug 4.

Critical Care Medicine National Hospital of Sri Lanka, Sri Lanka.

Kounis syndrome is associated with mast cell activation resulting in acute coronary syndrome secondary to an allergic insult. Various drugs such as antibiotics, analgesics, and environmental exposures such as bee, wasp sting, and poison ivy are known to induce Kounis syndrome. A 68-year-old man admitted with a cobra bite on both hands to emergency care unit and sustained cardiorespiratory arrest. Read More

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http://dx.doi.org/10.1155/2019/5185716DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699288PMC

Cholecystitis with Septic Shock in Immunocompetent Patient.

Case Rep Crit Care 2019 4;2019:5057071. Epub 2019 Aug 4.

Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, TX, USA.

is a Gram-negative rod previously named , isolated as normal flora in the gut of animals including human stool. Most reported cases refer to immunocompromised patients with polymicrobial infections and water environments. Here we present a case of 51-year-old immunocompetent female presented with nausea, vomiting, malaise, and subjective fever for few days. Read More

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http://dx.doi.org/10.1155/2019/5057071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699282PMC
August 2019
3 Reads

Emergent Antidepressant Discontinuation Syndrome Misdiagnosed as Delirium in the ICU.

Case Rep Crit Care 2019 4;2019:3925438. Epub 2019 Aug 4.

Department of Pharmacology, Southern Illinois University School of Medicine, Springfield, IL, USA.

We present a case of serious antidepressant discontinuation syndrome (ADDS) in a 72- year-old woman in the intensive care unit (ICU). Although this syndrome may be mild under ambulatory conditions, ICU patients can experience serious neurocognitive symptoms that are difficult to differentiate from delirium. We report delayed recognition of the ADDS in a patient in the ICU who was initially diagnosed with severe hyperactive delirium. Read More

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http://dx.doi.org/10.1155/2019/3925438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699335PMC
August 2019
1 Read

The Use of Portal Vein Pulsatility to Differentiate Hypervolemic and Hypovolemic Hyponatremia.

Case Rep Crit Care 2019 15;2019:9591823. Epub 2019 Jul 15.

Critical Care, Cooper University Hospital, USA.

Hypotonic hyponatremia is a common electrolyte disorder defined by a blood serum sodium value of less than 136 meq/L. A challenge in managing hyponatremia is accurately determining the etiology for the free water excess as management can markedly differ. Accurate diagnosis of the etiology of hypotonic hyponatremia requires precision in the determination of extracellular volume status. Read More

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http://dx.doi.org/10.1155/2019/9591823DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6662413PMC

Critical Illness Associated Fatal Hypoglycemia in a Nondiabetic Male.

Case Rep Crit Care 2019 22;2019:4790320. Epub 2019 May 22.

Department of Internal Medicine, Easton Hospital, Easton, Pennsylvania, USA.

We present here the case of a 55-year-old male who presented to the emergency department with severe abdominal pain and respiratory distress secondary to mesenteric ischemia. His critical illness on preexisting chronic kidney disease, previously undiagnosed alcoholic cirrhosis, and congestive heart failure led to a rare yet fatal consequence of refractory hypoglycemia. Critical illness associated hypoglycemia generally occurs as a result of high metabolic consumption with relative insulin excess and insufficient nutritional intake that is seen frequently in critically ill patients. Read More

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http://dx.doi.org/10.1155/2019/4790320DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556287PMC
May 2019
3 Reads

Postoperative 'STEMI' in Intracerebral Hemorrhage due to Arteriovenous Malformation: A Case Report and Review of Literature.

Case Rep Crit Care 2019 22;2019:9048239. Epub 2019 Apr 22.

Department of Neurology, Wayne State University, Detroit, MI, USA.

Electrocardiogram (ECG) changes suggestive of cardiac ischemia are frequently demonstrated in patients with ischemic stroke and subarachnoid hemorrhage. However, little is known of such changes particularly acute ST segment myocardial infarction (STEMI) in patients with intracerebral hemorrhage (ICH), especially after neurosurgery. We present a patient with intraparenchymal hemorrhage due to cerebral arteriovenous malformation (AVM) who exhibited acute STEMI after neurosurgery. Read More

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http://dx.doi.org/10.1155/2019/9048239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6507120PMC
April 2019
4 Reads

Complications during the Management of Dislocated Tracheostomy Cannula.

Case Rep Crit Care 2019 13;2019:5346262. Epub 2019 May 13.

Department of Intensive Care Medicine, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark.

We describe an acute complication to a tracheostomy cannula in the form of a dislocated cannula after a surgical tracheostomy in a 65-year-old male patient. The case illustrates the development of progressing subcutaneous emphysema resulting in a cannot intubate, cannot oxygenate (CICO) situation and the airway management of the patient with respiratory distress. Early recognition and situational awareness are essential in the management of patients with acute airway complications. Read More

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http://dx.doi.org/10.1155/2019/5346262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6535815PMC
May 2019
4 Reads

Successful Use of Octreotide Therapy for Refractory Levofloxacin-Induced Hypoglycemia: A Case Report and Literature Review.

Case Rep Crit Care 2019 9;2019:3560608. Epub 2019 May 9.

Department of Anesthesiology, Emory Center of Critical Care, Emory School of Medicine, Atlanta, Georgia, USA.

Fluoroquinolones are commonly prescribed antimicrobials that have been implicated in alterations of glucose metabolism. We report a case of refractory fluoroquinolone-induced hypoglycemia in a patient with type-2 diabetes mellitus on glipizide that was successfully treated with octreotide. A patient was admitted with hypoglycemia after having been initiated on levofloxacin therapy. Read More

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http://dx.doi.org/10.1155/2019/3560608DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532307PMC
May 2019
4 Reads

In-Hospital Diagnosis of Tricuspid Papillary Muscle Rupture in an Asymptomatic Patient after Blunt Chest Trauma.

Case Rep Crit Care 2019 9;2019:1890640. Epub 2019 May 9.

Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Tricuspid papillary muscle rupture after blunt chest trauma is an infrequent injury that often remains undiagnosed until patients become symptomatic months to years after the trauma occurred. It is imperative to diagnose patients early with this condition in order to optimize chances of successful recovery and avoidance of sequelae of long-term tricuspid regurgitation such as atrial fibrillation and right heart failure. Here we describe a case of a 58-year-old man involved in a motocross accident suffering amongst other injuries extensive bilateral rib fractures, hemopneumothoraces, and asymptomatic anterior tricuspid papillary muscle rupture. Read More

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http://dx.doi.org/10.1155/2019/1890640DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532299PMC
May 2019
9 Reads

Successful Use of Tissue Plasminogen Activator in an Adolescent Male with Pyogenic Liver Abscess.

Case Rep Crit Care 2019 14;2019:5735312. Epub 2019 Apr 14.

Division of Pediatric Critical Care Medicine, Section of Pediatric Critical Care Medicine, Department of Pediatrics, Indiana University School of Medicine and Riley Hospital for Children at IU Health, Indianapolis, IN, USA.

Large pyogenic liver abscess is a rare and difficult to treat entity in pediatric patients. Percutaneous drainage rather than open surgical drainage has become more common in recent years, even for large abscesses. Percutaneous drainage can be complicated by catheter obstruction. Read More

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http://dx.doi.org/10.1155/2019/5735312DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487166PMC
April 2019
9 Reads

A Patient of Using Presepsin to Diagnose Streptococcal Toxic Shock Syndrome during Anticancer Drug Treatment.

Authors:
Gaku Takahashi

Case Rep Crit Care 2019 16;2019:3240501. Epub 2019 Apr 16.

Department of Critical Care, Disaster and General Medicine, School of Medicine, Iwate Medical University, Japan.

Background: Streptococcal toxic shock syndrome (STSS) is a rapidly progressive infection, with potentially rapid patient deterioration in a very short period. We experienced a rare case of STSS during anticancer chemotherapy, and we continuously measured presepsin (P-SEP) and evaluated its usefulness.

Case Presentation: A 60-year-old woman with pulmonary metastasis from cervical cancer began anticancer chemotherapy. Read More

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http://dx.doi.org/10.1155/2019/3240501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500667PMC
April 2019
7 Reads

Inhaled Nitric Oxide as an Adjunct to Thrombolytic Therapy in a Patient with Submassive Pulmonary Embolism and Severe Hypoxemia.

Case Rep Crit Care 2019 28;2019:5184702. Epub 2019 Mar 28.

Division of Pulmonary and Critical Care Medicine BronxCare Health System, 1650 Grand Concourse, Bronx, NY 10457, USA.

Introduction: Inhaled nitric oxide (iNO) is a selective pulmonary vasodilator with limited indications in adults. We present a patient with hypoxemia and right ventricular dysfunction due to submassive acute pulmonary emboli where iNO was used as a bridge to thrombolysis.

Case: A 29-year-old male was admitted to the intensive care unit (ICU) for alcohol intoxication complicated with aspiration pneumonia and acute respiratory failure requiring mechanical ventilation. Read More

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https://www.hindawi.com/journals/cricc/2019/5184702/
Publisher Site
http://dx.doi.org/10.1155/2019/5184702DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458947PMC
March 2019
17 Reads

Use of Thromboelastogram in Venovenous Extracorporeal Membrane Oxygenation for a Patient with Pulmonary Hemorrhage due to Microscopic Polyangiitis.

Case Rep Crit Care 2019 25;2019:7241264. Epub 2019 Mar 25.

Intensive Care Unit, University of Hong Kong, Shenzhen Hospital, China.

Systemic heparinisation is required for extracorporeal membrane oxygenation therapy, to prevent clotting of circuit and formation of thrombus in patient. Activated clotting time (ACT) or activated partial thromboplastin time (aPTT) has been the mainstay of monitoring of heparin dose. Thromboelastogram (TEG) is increasingly being used again in recent years with the advancement in technology. Read More

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http://dx.doi.org/10.1155/2019/7241264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452545PMC
March 2019
8 Reads

Chylous Cardiac Tamponade with Chylothoraces Secondary to Hodgkin's Lymphoma: Octreotide in Conjuncture with Standard of Care Dietary Fat Restriction.

Case Rep Crit Care 2019 25;2019:1406840. Epub 2019 Mar 25.

Children's Hospital of Philadelphia - Department of Dietetics and Nutrition, USA.

Chylous effusions are a well-known complication from a variety of etiologies including trauma, malignancies, and anatomic defects, with the most common location being in the pleural space. A pericardial chylous effusion (chylopericardium) is uncommon, and a chylopericardium with concomitant bilateral chylous pleural effusions (chylothoraces) has only been reported in less than a handful of case reports. Our patient presented with bilateral chylothoraces and a chylopericardium with tamponade physiology secondary to Hodgkin's Lymphoma. Read More

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http://dx.doi.org/10.1155/2019/1406840DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452529PMC
March 2019
3 Reads