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Updated: Jul 26, 2026
06:18
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
Heads up: don't forget the ordinary.
Eric R Gottlieb1,2, Meghan M Nahass1,2, Francis X Basile1,3
1Department of Medicine, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Oxford Medical Case Reports
|January 31, 2019
Summary
A patient
Area of Science:
- Internal Medicine
- Nephrology
- Infectious Disease
Background:
- A 72-year-old woman presented with severe anemia, shortness of breath, and a necrotic neck mass.
- Initial presentation complicated by emergency department boarding and difficulty tolerating diagnostic imaging.
Observation:
- The patient developed fevers, attributed to blood transfusion, but subsequently progressed to septic shock.
- Septic shock led to disseminated intravascular coagulation and anuric renal failure requiring hemodialysis.
Findings:
- Computed tomography (CT) scan revealed an obstructing ureteric stone as the source of infection.
- The necrotic neck mass was initially misidentified as the cause of the patient's severe illness.
Implications:
- This case highlights the critical importance of a broad differential diagnosis in complex medical presentations.
- Accurate diagnosis is essential to guide appropriate treatment and prevent severe complications such as septic shock and renal failure.
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