July 2019 critical care case of the month: an 18-year-old with presumed sepsis and progressive multisystem organ failure

• Main Author: Raschke RA
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2019-07-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: HLH; hemophagocytic lymphohistiocytosis; soluble interleukin-2 receptor; ferritin; criteria; anakinra; treatment; multisystem organ failure; overactive inflammation; NK cell
• Online Access: http://www.swjpcc.com/critical-care/2019/7/1/july-2019-critical-care-case-of-the-month-an-18-year-old-wit.html

No abstract available. Article truncated after first page. History of Present Illness: An 18-year-old woman was admitted to HonorHealth Scottsdale Osborn Medical Center with a fever of unknown origin (FUO). She had a two week history of fever, malaise, sore throat, myalgias, and rash which she thought was the “flu”. PMH, SH and FH: She has no significant past medical history or family history. She works as a hairdresser She denied smoking or drug abuse. Physical Examination: Physical examination is unremarkable except to fever of 101.2°F. Which of the following are appropriate at this time? 1. Rapid influenza diagnostic testing 2. Begin oseltamivir (Tamiflu®) 3. Urine and blood cultures 4. 1 and 3 5. All of the above …