Α 57-Year-Old Woman With ARDS, Cachexia, and a 2-Month Fever

Vasiliki Tsolaki; Efstratios Manoulakas; Demosthenes Makris; Stylianos Boutlas; Zoe Daniil; Konstantinos I Gourgoulianis; Epaminondas Zakynthinos

doi:10.1016/j.chest.2019.02.328

Α 57-Year-Old Woman With ARDS, Cachexia, and a 2-Month Fever

Chest. 2019 Jul;156(1):e27-e31. doi: 10.1016/j.chest.2019.02.328.

Authors

Vasiliki Tsolaki¹, Efstratios Manoulakas², Demosthenes Makris², Stylianos Boutlas², Zoe Daniil², Konstantinos I Gourgoulianis², Epaminondas Zakynthinos²

Affiliations

¹ Faculty of Medicine, University of Thessaly, University Hospital of Larissa, Larissa, Greece. Electronic address: vasotsolaki@yahoo.com.
² Faculty of Medicine, University of Thessaly, University Hospital of Larissa, Larissa, Greece.

PMID: 31279382
DOI: 10.1016/j.chest.2019.02.328

Abstract

A 57-year-old homemaker and rural inhabitant of Central Greece (ex-smoker, 25 pack-years), was admitted to the ICU because of acute hypoxemic respiratory failure with diffuse bilateral alveolar infiltrates. Her medical history was unremarkable. She had been looking after her mother in a farmhouse with goats and a dog for the previous 6 months. She had not ingested any unpasteurized dairy products. She complained of fever and weight loss (8 kg) over the previous 2 months. She developed a nonproductive cough during the past 5 days and was referred to the hospital.

Publication types

Case Reports

MeSH terms

Cachexia
Diagnosis, Differential
Female
Fever
Humans
Leishmaniasis, Visceral / diagnosis*
Leishmaniasis, Visceral / drug therapy
Middle Aged
Pneumonia, Bacterial / diagnosis*
Pneumonia, Bacterial / drug therapy
Q Fever / diagnosis*
Q Fever / drug therapy
Respiratory Distress Syndrome