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A 58 yrs Indian Male presents to emergency dept with complaint of sudden unconsciousness 3 hours before. Patient regained consciousness after 10-15 mins but was having low level of consciousness for which he was shifted to critical care and mechanically ventilated. He was having fever for 7 days and constipation for 10 days. Patient underwent thyroidectomy 18 years before & is on HRT (Thyroxine 175micg per day). Patient is a k/c of Bipolar disorder since 8 years with following medication: sodium valproate 300mg, carbamazepine 400mg, clozapine 50gm, fluoxetine 20mg, clonazepam .25mg. Patient's current issues are high grade fever persistently above 101°c & low level of consciousness. Blood and urine culture came out to be sterile. CT and MRI appears to be normal. Patient is on ionotropic support Norad @ 3mg/kg/h and continuous paracetamol infusion @200ml/hr. Labs: Hb 8.4, Tlc 18000, Dlc 90/10, plt 2 lacs, sodium 160, pot 3.6, urea 160, creat 2.7, bilirubin 0.9, sgpt 49, sgot 78, pt 22.6, inr 2.04, aptt 93.3, ALp 170, CK1841, trop i 0.045. Echo suggestive of pulmonary embolism otherwise normal. ECG normal. What is the cause of persistent high grade fever and decrease level of consciousness? Management of patient?
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R●●●●●●●●a P●●●●y and 13 others like this
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Dr. P●S B●●r Critical Care Medicine
Drug induced fever, antipsychotic??
with rhabdomyolysis and aki,
progressing to MODS
Dec 29, 2017Like
d●●●●●●a m●●●o Ayurvedic Medicine
क्या हाल है
मैं आपके साथ महत्वपूर्ण चर्चा साझा करना चाहता हूं
मुझे संदेश लिखें या अधिक चर्चा के लिए मुझे अपना ईमेल भेजें
(Dominikaenos@hotmail.com)
आप कौन सी भाषा बोलते हैं?
मैं अपने ईमेल के माध्यम से आपके संदेश की प्रतीक्षा करता हूं
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Mar 12, 2019Like
Dr. M●. S●●●●●l I●●●m S●●●n Internal Medicine
Fever due to Neuroleptic malignant syndrome.
Unconscious due to SIADH.
Mar 12, 2019Like
