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These cases are prepared by fellows and residents at Indiana University. They are peer-reviewed by faculty and staff of the IU Division of Pulmonary and Critical Care medicine prior to their publication here. Those that have been subsequently published elsewhere in peer-reviewed journals are linked to the PDF files of the publication.
Editors: Gabriel Bosslet M.D., and Chadi Hage M.D., faculty editors
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Is there an optimal serum marker for diagnosis of sepsis?
A case of atypical sepsis is presented, and a discussion of the performance of procalcitonin for the early detection of sepsis and septic shock is reviewed. |
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A 29 year old female with acetaminophen overdose, anemia, and hypoxemia
A 29 year old female is admitted after toxic acetaminophen ingestion and is found to have an oxygen saturation of 85% on room air without any pulmonary symptoms. |
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ARDS, influenza, and a rapid influenza screen
3 cases of Hispanic males with ARDS secondary to influenza are presented, and pitfalls of the rapid influenza screen are discussed. |
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A 74 year-old male with intermittent hemoptysis
A 74 year-old male was referred for hemoptysis of two years duration and anemia. Diagnosis was made based upon history and bronchoalveolar lavage. |
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Respiratory failure and rash following stem cell transplant
A 52 year old man suffered respiratory arrest 10 days after stem cell transplant. Infectious workup yielded no cause, and a clinical diagnosis was made. |
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51 year-old male with dyspnea and hypoxia
A 51 year-old man presented with dyspnea and hypoxemia that was unresponsive to oxygen therapy. Right heart catheterization revealed pulmonary hypertension with shunt physiology. |
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Strongyloides Hyperinfection: A Rare Cause of Fatal Respiratory Failure
A 73-year old male presented with subacute onset of dyspnea and hemoptysis. Labs revealed eosinophilia, and BAL revealed significant parasite burden within the lungs. |
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The role of bronchoscopy in acute burns
A 20-year old male presented with 45% TBSA burn after falling into an outdoor fire. The role of bronchoscopy in management of burn patients is reviewed. |
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A 63-year old female with dyspnea
A 63-year old woman presented with a several year history of dyspnea and new onset of syncope. Testing revealed a left-to-right pulmonary shunt, but cardiac echo revealed no intracardiac shunt. |
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A 62-year old man with hypotension and a large chest fluid collection
A 62-year-old man was admitted with increased shortness of breath and a cough associated with yellowish sputum production. His symptoms had been progressively worsening over weeks. Pertinent symptoms at presentation included a 10-lb weight loss, dizziness, and low-grade fevers. |
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