An immunocompromised patient with fever and pulmonary infiltrates

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2016, Volume 24, Issue 1 : 18-24

Article

An immunocompromised patient with fever and pulmonary infiltrates

van Haaften L.

Ten Oever J.

Snoeren M.

Heunks L.

Abstract

This paper describes the case of a patient with progressive respiratory muscle weakness requiring invasive mechanical ventilation. After extensive work-up he was diagnosed with neurosarcoidosis and treated with immunosuppressive drugs. During the ICU stay he developed new pulmonary consolidations and fever. The differential diagnosis of fever and pulmonary infiltrates in a ventilated, immunocompromised patient is extensive. A systematic and probabilistic approach and close cooperation between the intensive care, infectious diseases, radiology, and pulmonology revealed an uncommon aetiology for this second episode of respiratory failure. © 2016, Netherlands Society of Intensive Care. All rights reserved.

Keywords

Fever

ICU

Immunocompromised

Pulmonary infiltrates

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