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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 48-Year-Old Man With Paralysis and Hypotension

Jennifer A. Johnson, MD; Clay Callison, MD; Alison N. Miller, MD
Author and Funding Information

*From the Departments of Allergy, Pulmonary, and Critical Care Medicine (Dr. Johnson) and Internal Medicine (Dr. Callison), Vanderbilt University, Nashville, TN; and the Veterans Affairs Tennessee Valley Healthcare System (Dr. Miller), Nashville, TN.

Correspondence to: Jennifer A. Johnson, MD, Vanderbilt University, Department of Allergy, Pulmonary, and Critical Care Medicine, 1161 21st Ave South, Room T1218 MCN, Nashville, TN 37232-2650; e-mail: jennifer.johnson.2@vanderbilt.edu


The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2008;134(4):862-865. doi:10.1378/chest.08-0253
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Extract

A 48-year-old man presented to the emergency department with acute paralysis from the umbilicus down. The patient was watching television and drinking beer with friends when he developed the sudden onset of bilateral lower extremity paralysis associated with loss of bowel control. The patient denied any trauma, chest pain, abdominal pain, or syncope. His medical history was significant for hypertension, tobacco abuse, posttraumatic stress disorder, and depression with suicide attempts. He had no history of surgery. His medications included felodipine, hydrochlorothiazide, lisinopril, and quetiapine.

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