Case 49 A 48-year-old man had a long history of alcoholism and was admitted to the intensive care unit with profound hypotension and gastrointestinal bleeding. He was intubated and given intravenous fluids and transfused with packed red blood cells. He remained intubated and ventilator dependent for several weeks. He developed fevers and was treated with broad-spectrum antibiotics. Culture of his tracheal aspirate showed polymorphonuclear leukocytes and gram-negative rods. His chest radiograph was not mentioned.
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The patient's history of alcoholism, hypotension, gastrointestinal bleeding, and prolonged intubation and ventilation all contribute to his weakened immune system and increased risk for infection. Show more…
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