Table of Contents
Washington University Experience | NEOPLASM (SELLAR) | Pituitary Adenoma - Pituitary Neuroendocrine Neoplasm | Multiple Microadenomas | 1A0 Case 1 History
Case 1 History ---- The patient was a 52-year-old female with a history of hypertension, migraine headaches, and recently (one year) diagnosed with interstitial lung disease (ILD) with autoimmune features of mixed connective tissue disease. She presented at the BJH ER with shortness of breath and exertional dyspnea and was hospitalized. She had worsened progressive lung organization/fibrosis, patchy ground-glass opacities, and consolidation. She was transferred to the intensive care unit due to worsening respiratory function. A respiratory pathogen panel was positive for RSV, and a sputum culture revealed Saccharomyces cerevisiae. Blood cultures were also positive for CMV. Her management continued with antibiotics, ribavirin, steroids, IVIG, and supplemental oxygen. While in the hospital severe respiratory distress and declining mental status prompted intubation at which time she developed pulseless electrical activity (PEA) arrest, which was treated multiple times with advanced cardiac life support (ACLS) protocol with return of spontaneous circulation achieved between multiple PEA events. Following her family’s wishes the decision was made to discontinue CPR.
