14 research outputs found
Noninvasive Positive Pressure Ventilation in Acute Hypoxemic Respiratory Failure and in Cancer Patients
Noninvasive Mechanical Ventilation in Patients with Acute Respiratory Failure Due to Pandemic Influenza A(H1N1) Virus
Respiratory Failure and Noninvasive Mechanical Ventilation in Cancer Patients: Global Overview
Fatal hemorrhagic pneumonia: Don’t forget Stenotrophomonas maltophilia
AbstractWe present a case of fatal hemorrhagic pneumonia secondary to Stenotrophomonas maltophilia in a patient with acute myeloid leukemia. S. maltophilia is commonly a non-virulent pathogen. However, in the immunocompromised, it is generally associated with bacteremia after central venous catheter placement or pneumonia. Hemorrhagic pneumonia is a rare presentation of this bacteria, with only 31 cases reported in the literature, and has 100% mortality within 72 hours. Rapid recognition and early suspicion should be key in the treatment of these patients
568: Treatment of Hyperammonemic Encephalopathy in Fibrolamellar Hepatocellular Carcinoma
Multisystem crisis in a patient with presumptive renal cell carcinoma
We describe the case of a patient who presented with a kidney lesion, lymphadenopathy, and bone metastasis. He developed a tetrad of high fever, encephalopathy, labile blood pressure, and multiple organ system failure. Initially, he was diagnosed with metastatic renal cell carcinoma (RCC). His fevers and encephalopathy were compatible with a putative paraneoplastic syndrome. Eventually, he was found to have malignant pheochromocytoma. To our knowledge, this is the first reported case of a malignant pheochromocytoma with multisystem crisis. Because of its atypical presentation and unusual findings, a high index of suspicion is necessary for the timely diagnosis of this clinical entity. Prompt diagnosis and appropriate treatments could improve the performance status and quality of life of such patients
