Key result
A 71-year-old woman with a history of myocardial infarction and renal insufficiency presented with fever, dyspnea, and hypotension.
Case Report (n=1)
Prompts sepsis evaluation in similar high-risk patients; leaves open optimal diagnostic pathways pending controlled studies.
Presentation of CaseA 71-year-old woman was admitted to the hospital because of fever, dyspnea, and hypotension.Her history included an inferior myocardial infarction 19 years earlier; hypertension; renal insufficiency ascribed to chronic pyelonephritis, with a creatinine level ranging from 1.8 to 2.2 mg per deciliter (159.1 to 194.5 μmol per liter); a left nephrectomy; and chronic paranoid schizophrenia. There was a mass in the right middle lobe and a calcified right hilar lymph node, both of which had remained unchanged on periodic radiographic assessment for seven years.Twelve weeks before the current admission, the patient was admitted to the . . .
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Gossman et al. (1998) conducted a case report in Fever, dyspnea, and hypotension (n=1). A 71-year-old woman with a history of myocardial infarction and renal insufficiency presented with fever, dyspnea, and hypotension.
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