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Washington University Experience | NEURODEGENERATION | Pick Disease | 6A0 Case 6 History
Case 6 History The patient was a 72 year old female with a history of severe dementia of unknown origin, questionable cerebrovascular accidents, type 2 diabetes mellitus, and anemia of chronic disease who was discharged from BJH one week after her most recent admission for placement of a gastrostomy tube. The patient had been aphasic and marginally responsive for the last few months in a nursing home but her daughter noted that she no longer followed people with her eyes as she had done one day earlier and that the patient's eyes deviated to the left. Nursing home personnel noted a temperature of 38.5°C and a blood pressure of 90/60 and the patient was again transferred to BJH in mid-July 1990. Because the patient had recently finished a course of antibiotics for a urinary tract infection, the diagnosis of possible urosepsis was made and the patient was started on triple antibiotics. A head CT was consistent with normal pressure hydrocephalus but it was felt she would not benefit from a shunt. The family decided against aggressive measures and she was found unresponsive with no blood pressure or pulse.
