Case 7-2021: A 19-Year-Old Man with Shock, Multiple Organ Failure, and Rash

A 19-year-old man was admitted to the pediatric ICU because of shock, multiple organ failure, and rash. Twenty hours before admission, abdominal pain and nausea developed after he ate leftovers from a restaurant meal. Five hours before admission, purplish discoloration of the skin developed. Managem...

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Veröffentlicht in:	The New England journal of medicine 2021-03, Vol.384 (10), p.953-963
Hauptverfasser:	Bendapudi, Pavan K, Whalen, Michael J, Lahoud-Rahme, Manuella, Villalba, Julian A
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen Anticoagulants - therapeutic use Blood pressure Cardiovascular disease Case reports Catheters Diagnosis, Differential Disseminated Intravascular Coagulation - complications Disseminated Intravascular Coagulation - diagnosis Electrocardiography Exanthema Exanthema - etiology Humans Illnesses Laboratories Male Meningococcal Infections - complications Meningococcal Infections - diagnosis Mens health Multiple organ dysfunction syndrome Multiple Organ Failure - etiology Nausea Neisseria meningitidis, Serogroup C - isolation & purification Oxygen saturation Pain Patients Pediatrics Purpura Purpura Fulminans - diagnosis Purpura Fulminans - etiology Purpura, Thrombocytopenic - diagnosis Shock - etiology Thrombocytopenia Thrombosis Vasculitis - diagnosis Ventilators Young Adult
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Beschreibung
Zusammenfassung:	A 19-year-old man was admitted to the pediatric ICU because of shock, multiple organ failure, and rash. Twenty hours before admission, abdominal pain and nausea developed after he ate leftovers from a restaurant meal. Five hours before admission, purplish discoloration of the skin developed. Management decisions were made.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMcpc2027093