April 2017 critical care case of the month

• Main Author: Raschke RA
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2017-04-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: colchicine; toxicity; shock; multisystem organ failure; rash; disseminated intravascular coagulation; nausea; vomiting diarrhea; granulocyte colony stimulating factor; DRESS syndrome
• Online Access: http://www.swjpcc.com/critical-care/2017/4/2/april-2017-critical-care-case-of-the-month.html

No abstract available. Article truncated after 150 words. History of Present Illness: A 20-year-old woman was transferred from another medical center for care. She was pregnant and initially presented with a one day history of crampy abdominal pain with nausea and vomiting after eating old, bad tasting chicken two days previously. She had pain of her right arm and a non-displaced humeral fracture was seen on x-ray. The etiology of the fracture was unclear. Her illness rapidly progressed to respiratory distress requiring intubation. The fetus had deceleration of heart tones leading to a cesarean section and delivery of a non-viable infant. Subsequently, she had rapid progression of shock and anuria. Past Medical History: She had a previous history of a seizure disorder which was managed with levetiracetam, clonazepam, and folic acid. There was a previous intentional opiate overdose 2 years earlier. One month prior to admission she had visited her husband in Iraq. After returning to the US …