November 2013 pulmonary case of the month: a series of unfortunate infections

• Main Authors: Sakata KK, Sapienza KL, Wesselius LJ
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2013-11-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: immunocompromised host; pneumonia; adenovirus; hepatitis; multisystem organ failure; cidofovir; adenoviral hepatitis; viral inclusions; stem cell transplant; liver failure
• Online Access: http://www.swjpcc.com/critical-care/2013/11/2/november-2013-critical-care-case-of-the-month-a-series-of-un.html

No abstract available. Article truncated after 150 words. History of Present Illness A 22 year old man was admitted with fever for 2 weeks. He had a history of acute lymphocytic leukemia (ALL) and had received a stem cell transplant in (SCT) in May 2013. PMH, SH, FH Other than the ALL and STC transplant there was no significant PMH, SH, or FH. The STC was uneventful. Physical Examination T 38.6°C with a pulse of 110 beats/min. Otherwise the physical examination was unremarkable. CT scan A CT scan of the thorax was performed in a search for the source of the fever (Figure 1). Figure 1. Admission thoracic CT scan showing an abnormality. The remainder of the CT scan was unremarkable. Which of the following best describes the CT abnormality? 1. Chest wall abnormality in the left chest 2. Focal area of consolidation in the left lung 3. Focal area of consolidation in the right lung 4. Mass …