A 58-Year-Old Man With Episodic Hypercapnic Respiratory Failure.
Chest
; 160(2): e185-e188, 2021 08.
Article
en En
| MEDLINE
| ID: mdl-34366042
ABSTRACT
CASE PRESENTATION A 58-year-old man presented to the ED with a 1-week history of progressive weight loss, generalized weakness, unsteadiness, and dizziness. In hospital, he experienced a witnessed episode of loss of consciousness with no observable respirations that lasted for 15 minutes. His arterial blood gas demonstrated hypercapnic respiratory failure, and he required mask ventilation and vasoactive medications. Similar episodes occurred several more times over the course of the night that required the patient to be intubated. The paroxysmal episodes persisted necessitating continued invasive ventilatory support and admission to the ICU. The episodes occurred in both awake and asleep states and required the ventilator settings to dictate a minimum rate, but minimal ventilatory support otherwise. Further history revealed other symptomatic complaints of vertigo, dysphagia, and hypophonia that had progressed over a 2-month period. The patient's medical history was pertinent for a diagnosis of prostatic carcinoma 3 years previously that was found to be castrate resistant. He had metastases to his hip, ribs, and thoracic spine. Previous treatments had included bicalutamide, docetaxel, and abiraterone; he was receiving leuprolide therapy on presentation.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Insuficiencia Respiratoria
/
Síndromes Paraneoplásicos del Sistema Nervioso
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Chest
Año:
2021
Tipo del documento:
Article
País de afiliación:
Canadá