April 2017 critical care case of the month

Robert Raschke
2017 Southwest Journal of Pulmonary and Critical Care  
History of Present Illness A 20-year-old woman was transferred from another medical center for care. She was pregnant and initially presented with a one day history of crampy abdominal pain with nausea and vomiting after eating old, bad tasting chicken two days previously. She had pain of her right arm and a non-displaced humeral fracture was seen on x-ray. The etiology of the fracture was unclear. Her illness rapidly progressed to respiratory distress requiring intubation. The fetus had
more » ... he fetus had deceleration of heart tones leading to a cesarean section and delivery of a nonviable infant. Subsequently, she had rapid progression of shock and anuria.
doi:10.13175/swjpcc039-17 fatcat:dx7zxxbgona6vbwltpb5wtaa4u