Author: Stephen Ojo / Editor: Steve Corry-Bass / Codes: ACCS LO 1, EnC6, SLO3 / Published: 24/07/2020
A 42-year-old male attends the emergency department with history of fever, feeling generally unwell and shortness of breath. He has been unwell for 3 days prior to presentation but was previously fit and well.
He describes an associated weakness of both lower limbs a few hours prior to presentation which made him panic and called the ambulance. He was FAST negative. He’s had no contact with anyone symptomatic for COVID-19.
On Examination, he looks unwell with evidence of Hyperthermia (Temp of 40.1), dehydration and mild respiratory distress.
His Respiratory rate is 28/min, pulse rate 142 bpm ( ECG shows Atrial Fibrillation with a fast ventricular response – not previously known) and his blood pressure is high at 190/120.
The rest of the respiratory and cardiovascular systems examination is unremarkable.His neurological examination is also normal but he has evidence of generalised muscle weakness on both lower limbs.
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6 Comments
Very tricky scenario
very serious dilemma in real time. Interesting case resolution.
interesting presentation
Good case clinically
Better to know noninfective causes of hyperpyrexia
Interesting case.
Very tricky case! Good learning