Case 38-2020: A 52-Year-Old Man with Cancer and Acute Hypoxemia

A 52-year-old man with back pain was admitted to the hospital with a vertebral mass, multiple lytic bone lesions, and severe hypercalcemia. MRI showed an enhancing, marrow-replacing mass involving the T1 vertebral body. On the fifth hospital day, the oxygen saturation decreased acutely. A diagnosis...

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Veröffentlicht in:	The New England journal of medicine 2020-12, Vol.383 (24), p.2372-2383
Hauptverfasser:	Marinacci, Lucas X, Simeone, F. Joseph, Lundquist, Andrew L, Kuter, David J, Mahowald, Grace K
Format:	Artikel
Sprache:	eng
Schlagworte:	Airway management Analgesics Auscultation Back pain Blood pressure Bone lesions Bone marrow Bone mass Cancer Case reports Diagnosis, Differential Edema Glycogen Storage Disease Type I - complications Glycogen Storage Disease Type I - diagnosis Heart rate Humans Hypercalcemia Hypercalcemia - etiology Hypertension Hypoxemia Hypoxia - etiology Kidney Function Tests Laboratories Lung - diagnostic imaging Lung diseases Lungs Magnetic Resonance Imaging Male Medical diagnosis Mens health Methemoglobinemia - chemically induced Methemoglobinemia - diagnosis Middle Aged Multiple Myeloma - complications Multiple Myeloma - diagnosis Nonsteroidal anti-inflammatory drugs Oxygen - blood Oxygen saturation Proteins Radiography Radiography, Thoracic Urate Oxidase - adverse effects Vertebrae
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Beschreibung
Zusammenfassung:	A 52-year-old man with back pain was admitted to the hospital with a vertebral mass, multiple lytic bone lesions, and severe hypercalcemia. MRI showed an enhancing, marrow-replacing mass involving the T1 vertebral body. On the fifth hospital day, the oxygen saturation decreased acutely. A diagnosis was made.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMcpc2004991