Critical Care

The case of a young man who presented in the emergency department complaining of sudden onset of cough, fever and haemoptysis is described. Chest ultrasonography rapidly diagnosed an acute respiratory distress syndrome picture, which was confirmed on computed tomography. This allowed prompt management of the patient. Blood cultures yielded Streptococcus pyogenes and...
(Vol 14 p 1-5, Critical care; Emergency medicine; Infection and immunity: 29 March 2014)
Febrile illness has a broad differential diagnosis, particularly among persons infected with human immunodeficiency virus (HIV). Infectious complications of immunodeficiency must always be high on this differential, but clinicians must also consider HIV-associated malignancies as an explanation for fever in this population. We present the case of a 48-year-old man with...
(Vol 11 p 34-36, Critical Care; Infection and Immunity; Oncology; Virology: 6 April 2011)
Although splenomegaly is found in approximately two thirds of patients with infectious mononucleosis (IM), splenic rupture is uncommon. However, it constitutes the single largest cause of mortality in this group. True atraumatic splenic rupture is very rare and is seen in only 0.5% of all cases of IM. We present a case of a 22-year-old man with atraumatic...
(Vol 9 p 6-8, Critical care, General surgery: 16 March 2009)
Electrical brain responses to words semantically related versus unrelated to their context were recorded in a coma patient on days 6 (Glasgow Coma Scale, GCS=6) and 22 (GCS=9). Significant differences between related and unrelated words (which were completely matched in their physical features) were consistently observed in both examinations. This is the first evidence...
(Vol 5 p 37-41, Neurology, Medical psychology, Critical care: September 2005)
Central venous cannulation via the internal jugular vein caused an unusual complication in a patient with a coaugulopathy. The formation of a non-clinically detectable haematoma, with secondary venous compression, resulted in the formation of glottic oedema, which caused significant upper airway obstruction.
(Vol 3 p 3-5, Anaesthesia and critical care: January 2003)


Frank Cross
Consultant Vascular and General Surgeon
The London Clinic, UK


Neil Barnes
Consultant Physician
Barts Health NHS Trust, London, UK
Ali Jawad
Professor of Rheumatology
Barts Health NHS Trust, London, UK

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