Artikel
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).…
Abstract Meigs syndrome is a rare clinical entity of benign origin in which a triad of ovarian tumour (usually ovarian fibroma or fibroid-like tumour), hydrothorax and ascites co-exist and raise suspicion of malignancy. Here, we report the case of a 60-year-old female presenting with a suspicion of ovarian cancer with…
Abstract A 48-year-old male presented to our emergency department after a suicide attempt using the helium method. This increasingly popular method of inhaling helium rapidly causes asphyxia and death. When the supply of helium is interrupted, it may result in post-anoxic encephalopathy, as demonstrated in this case. Introduction In the…
Abstract A 72-year-old patient was admitted to the intensive care unit with respiratory failure due to rapidly progressive interstitial lung disease (ILD). All cultures and PCRs focused on ILD were negative and a paraneoplastic phenomenon was deemed unlikely after screening for malignancy. Inflammatory myositis was suspected as the patient also…
Every couple of years the Netherlands Journal of Critical Care replaces the editor in chief and his/her entourage. After taking on this role in 2018, now, four years later, Prof. Dirk Donker and his associate editors Dr. Maarten van Eijk, Dr. Nuray Kusadasi and Dr. Christiaan Meuwese have come to…
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…
Abstract Encephalopathy is a severe and underestimated neurological complication of COVID-19 infection, with a high prevalence in COVID-19 patients in intensive care. We present a case of a 68-year-old male with severe COVID-19 encephalopathy and prolonged lowered consciousness, without showing any brain imaging abnormalities. There are multiple mechanisms of cause,…
Abstract In this case report, we describe an 85-year-old female patient who presented with a rare but important problem of anticoagulant rebound complicating dabigatran use. Despite multiple attempts to correct the bleeding, it continued and the coagulation times remained prolonged. Important risk factors for high dabigatran concentrations and prolonged coagulation…
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