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Stop what you're doing right now and clean out your fridge
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Replies: 4
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Stop what you're doing right now and clean out your fridge


Feb 25, 2022, 1:44 PM

A 19-year-old man was admitted to the pediatric intensive care unit (PICU) of this hospital because of shock, multiple organ failure, and rash.

The patient had been well until 20 hours before this admission, when diffuse abdominal pain and nausea developed after he ate rice, chicken, and lo mein leftovers from a restaurant meal. Multiple episodes of emesis occurred, with vomitus that was either bilious or red-brown. The abdominal pain and vomiting were followed by the development of chills, generalized weakness, progressively worsening diffuse myalgias, chest pain, shortness of breath, headache, neck stiffness, and blurry vision. Five hours before this admission, purplish discoloration of the skin developed, and a friend took the patient to the emergency department of another hospital for evaluation.
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This patient had a prolonged hospital course with many complications of fulminant meningococcemia, including necrosis of the arms and legs and gangrene, which led to amputations of parts of all 10 fingers and bilateral below-knee amputations. He remained dependent on hemodialysis throughout the hospitalization, but after discharge, he had sufficient renal function to discontinue hemodialysis. Of note, during his hospitalization, we learned that he had received only one dose of the meningococcal conjugate vaccine, without a booster, and one dose of the serogroup B meningococcal vaccine. Overall, he had a relatively good recovery from what was a very severe and acute presentation of meningococcal purpura fulminans.

https://www.nejm.org/doi/full/10.1056/NEJMcpc2027093
Case 7-2021: A 19-Year-Old Man with Shock, Multiple Organ Failure, and Rash | NEJM
Case Records of the Massachusetts General Hospital from The New England Journal of Medicine — Case 7-2021: A 19-Year-Old Man with Shock, Multiple Organ Failure, and Rash
flag link military_tech thumb_downthumb_up

You like?????


Feb 25, 2022, 1:50 PM

What else you want????? Egg roll?????

badge-donor-05yr.jpg flag link military_tech thumb_downthumb_up

Or just eat your leftovers cold like a real man.***


Feb 25, 2022, 2:04 PM



2024 purple level member flag link military_tech thumb_downthumb_up

drunk at the putt putt.


What happened to whoever at it fresh in the restaurant?***


Feb 25, 2022, 2:09 PM



flag link military_tech thumb_downthumb_up


I'm assuming they grew an extra set of legs and fingers.***


Feb 25, 2022, 2:14 PM



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Replies: 4
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