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Pulmonary and Critical Care Pearls |

Persistent Severe Hypocapnia and Alkalemia in a 40-Year-Old Woman*

Chia-Hsuin Chang, MD; Ping-Hung Kuo, MD; Chih-Hung Hsu, MD; Pan-Chyr Yang, MD, PhD, FCCP
Author and Funding Information

*From the Departments of Internal Medicine (Drs. Chang, Kuo, and Yang) and Oncology (Dr. Hsu), National Taiwan University Hospital, Taipei, Taiwan.

Correspondence to: Ping-Hung Kuo, MD, Department of Internal Medicine, National Taiwan University Hospital, No. 7, Chung-Shan South Road, Taipei 100, Taiwan.



Chest. 2000;118(1):242-245. doi:10.1378/chest.118.1.242
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Extract

A 40 -year-old woman with previously diagnosed non-Hodgkin’s lymphoma was admitted to the ICU because of a 2-day history of fever, hypotension, and shortness of breath. The patient denied headaches, vomiting, or blurred vision. Three years earlier, she had first presented for treatment with a mass in her right breast that proved to be a diffuse, large, B cell-type lymphoma. Complete remission was achieved after combination chemotherapy. Unfortunately, the patient was unable to undergo a stem-cell transplantation because intermittent fever, chills, and progressive dyspnea developed 2 weeks after chemotherapy, before peripheral stem cells could be harvested.

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