December 2012 critical care case of the month: sepsis-like syndrome in a returning traveler

• Main Authors: Bloom J, Ong E, Chase E
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2012-12-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: malaria; Plasmodium falcipirum; chloroquine; artesunate; CDC; exchange transfusion
• Online Access: http://www.swjpcc.com/critical-care/2012/12/1/december-2012-critical-care-case-of-the-month-sepsis-like-sy.html

Abstract not available. Article truncated at 150 words. History of Present Illness The patient is a 56 year old male with a past medical history that is significant only for well controlled hypertension presenting with acute onset of fever, hematuria, jaundice and fatigue. He had been hospitalized in Mexico for the last 5 days. When he failed to improve his friends chartered an airplane and brought him to the U.S. Prior to his hospitalization in Mexico he had traveled to Sierra Leone related to his work as a geologist. PMH, SH, FH Past Medical History: Hypertension, gastroesophageal reflux disease Past Surgical History: Vasectomy Medications: Omeprazole, Lisinopril Social History: Works as a geologist with recent travel to Sierra Leone, no history of alcohol abuse, intravenous drug abuse, or HIV. Physical Examination Vital signs: Temperature 97.5° F, Pulse 87 beats/min, Respiratory Rate 18 breaths/min, Blood Pressure 111/84 mm Hg, and SaO2 89% on room air. The patient was initially alert, …