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An accidental finding during bronchoscopy for tracheostomy

22 maart 2023

Case A 74-year-old woman with a medical history of splenic marginal zone lymphoma with splenomegaly and bone marrow localisation, for which no treatment was necessary, was admitted to the intensive care unit (ICU) due to respiratory failure because of Legionnaires’ disease. Sputum culture showed Legionella pneumophila serotype 1 which was…

Electrocardiographic changes typical for Wellens’ syndrome

08 februari 2023

A 77-year-old male was admitted with COVID-19 requiring intubation, prone positioning and treatment for bilateral segmental pulmonary embolism. Medical history consisted of type 2 diabetes and stable chronic lymphocytic leukaemia. Two weeks after intubation, he developed electrocardiographic changes with deeply inverted T waves in leads V2 to V4 (figure 1).…

At least he didn’t miss his train…

24 november 2022

Case A 35-year-old male presented to the emergency room (ER) with acute dyspnoea (SpO2 98%), pain and absent breathing sounds over the left hemithorax and hypotension (reported pre-hospital blood pressure 63/37 mmHg). He had no relevant medical history, except smoking of marihuana. Supposedly he felt a little snap in the…

Intoxication with lump formation in the oesophagus

01 maart 2022

Case A 68-year-old man with a medical history of type 2 diabetes, obstructive sleep apnoea, back pain for which oxycodone was prescribed, and absolute canal stenosis with claudication was admitted to the intensive care unit (ICU) due to a reduced level of consciousness and hypoventilation because of autointoxication. In the…