0
Pulmonary and Critical Care Pearls |

Hypoxemic Respiratory Failure in a 57-Year-Old Woman With Acute Monocytic Leukemia*

Dominic J. Valentino, III, DO; Michael C. Gelfand, MD; Victor E. Nava, MD; David F. Garvin, MD; Allen H. Roberts, II, MD, FCCP
Author and Funding Information

*From the Departments of Pulmonary, Critical Care, and Sleep Medicine (Drs. Valentino and Roberts), Nephrology (Dr. Gelfand), and Pathology (Drs. Nava and Garvin), Georgetown University Hospital, Washington, DC.

Correspondence to: Dominic J. Valentino III, DO, Department of Pulmonary, Critical Care, and Sleep Medicine, Georgetown University Hospital, Washington, DC; e-mail: DJVDO@mindspring.com



Chest. 2005;128(5):3629-3633. doi:10.1378/chest.128.5.3629
Text Size: A A A
Published online

Extract

A 57-year-old woman presented to a community hospital with complaints of headache and photophobia, cough, and nausea. Workup included a lumbar puncture to rule out meningitis. Spinal fluid analysis was unremarkable for infection or malignancy. Her initial CBC count showed a normal total WBC count, but the differential was noted to contain 75% blasts. The patient was transferred to the hematology/oncology service at our hospital, where a bone marrow biopsy was performed. Within 24 h, progressive fevers, respiratory distress, and hypoxemia developed, and the patient was transferred to the ICU.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

Suggested Readings

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543