eae

Laboratory Values on Admission: BUN 13, creatinine 1.3, sugar 98, amylase 46,
cholesterol 116, electrolytes normal, calcium, magnesium and phosphate normal, alkaline

phosphatase $0, total protein 8.5, albumin 4,1, total bilirubin 0.1, SCPT, SCOT and LDY

all normal, uric acid 5.8,

While being treated with cytosine arabinoside the SCPT and

SCOT rose out of the normal range and in the one week prior to death he had billrubin

elevations to as high as 6 as well,

There was never any evidence of disseminated intra-

ee

vascular coagulation on twice weekly coagulation screening tests,

Problem No, 2 - Thyrold Status:
Clinically, the patient vas euthyroid. Thyroxine level was 3.7,
hospital stay he was concinued on L-thyroxine, 0.3 mg. daily,

Throughout his

Problem No. 5 - Oticis Media:
The patient was treated with oxacillin and gentamicin followed by ampicillin for
g@ total of seven days with resolucion of his lefe otitis,
Problem No. 6 - Perlodonsircis:

The dental consultant recommended managing his molar periodontitis with frequent
local lavage, which was done under his supervision, The initial inflammation resolved
after several days, buc during the last three weeks of his hospitalization he had severe
peridontal inflammarion, worse on the right.

In addition, a right subauricular swelling

appeared late in the second hospital week and persisced until the time of death.

Ear,

nose and throat consultant thought this represented parotitis, but reactive adenopathy
from the periodontitis could not be excluded. During the last three weeks of hospital-

ization he was on nearly concinual antibiotic treatment with oxacillin and gentamicin

or keflin and gentamicin. On November 8 Proteus mirabilis and Pasteurella milticida
were cultured from the blood. These organisms had previously been cyltured from the
mouth as well, and a likely source of sepsis was hia perfodontitis, He continued to
be febrile throughout the rest of the hospical course, buc subsequent blood cultures
were sterile,
Problem No. 7 ~ Pneumonitis:

On November 7 the patient had gram-negative sepsis; on November 8 he complained

of a brassy cough; on Nevember 9 he was generally tachypneie and quite anxious, with

cyanotic nail beds.

Physical examination revealed right axillary rales and chest

x-ray showed & patchy alveolar infiltrate in the right upper, middle and lower lobes.
Arcerial oxygen saturation was 45 om. of mercury on room air and pCO, and 20 mom, of
Mercury, Cultures of the scanty blood-tinged sputum grew only a few colonies of
Klebsiella, Over che next two days he had increasingly severe respiratory distress
with gradual opacification of both hemithoraces on chest x-ray. His sputum became
frankly bloody.
On November 12 he was intubated by the nasotracheal route and placed
on a volume cycled respirator. He was begun on treatment empirically with pyrimethamine
and sulfadiazine for the possibility of Pneumocyatis carinii pneumonitis, Management

Clinical MCcORD

Rongelap (54) 09-44-40 3

( Wiwery ond Physical laeminesion

Ph, wmmary
-3THE CLINICAL CENTER

MATIONAL INSTITUTES OF NEALTO

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