Misdiagnosis: Acute Chest Syndrome That Evolved into Acute Respiratory Distress Syndrome in a Patient without a Documented History of Hemoglobinopathy
Acute chest syndrome (ACS) is a feared complication of sickle cell disease. Here is a case of a patient who presented with symptoms suggestive of acute chest syndrome yet had a delayed diagnosis presumably due to the lack of documented history of sickle cell disease of the patient, consequently evol...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/2893056 |
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| author | Christoph Sossou Ogechukwu Chika-Nwosuh Christopher Nnaoma Jose Bustillo Asad Chohan Etinosasere Okundaye Pratik Patel |
| author_facet | Christoph Sossou Ogechukwu Chika-Nwosuh Christopher Nnaoma Jose Bustillo Asad Chohan Etinosasere Okundaye Pratik Patel |
| author_sort | Christoph Sossou |
| collection | DOAJ |
| description | Acute chest syndrome (ACS) is a feared complication of sickle cell disease. Here is a case of a patient who presented with symptoms suggestive of acute chest syndrome yet had a delayed diagnosis presumably due to the lack of documented history of sickle cell disease of the patient, consequently evolving into acute respiratory distress syndrome (ARDS). He was subsequently diagnosed with heterozygous sickle cell SC disease on hemoglobin electrophoresis. After appropriate management with mechanical ventilator, broad-spectrum empiric intravenous antibiotics, exchange transfusion, and intravenous fluid resuscitation, the patient was medically optimized and safely discharged home, with significant improvement noted on successive follow-up visits. |
| format | Article |
| id | doaj-art-116b1b7781904fc29ef95ab28b563ed2 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-116b1b7781904fc29ef95ab28b563ed22025-02-03T05:50:22ZengWileyCase Reports in Medicine1687-96271687-96352019-01-01201910.1155/2019/28930562893056Misdiagnosis: Acute Chest Syndrome That Evolved into Acute Respiratory Distress Syndrome in a Patient without a Documented History of HemoglobinopathyChristoph Sossou0Ogechukwu Chika-Nwosuh1Christopher Nnaoma2Jose Bustillo3Asad Chohan4Etinosasere Okundaye5Pratik Patel6Resident Physician, Internal Medicine, Newark Beth Israel Medical Center, Newark, NJ, USAResident Physician, Internal Medicine, Newark Beth Israel Medical Center, Newark, NJ, USAResident Physician, Internal Medicine, Newark Beth Israel Medical Center, Newark, NJ, USAAssociate Residency Program Director, Internal Medicine, Newark Beth Israel Medical Center, Newark, NJ, USAResident Physician, Internal Medicine, Newark Beth Israel Medical Center, Newark, NJ, USAResident Physician, Internal Medicine, Newark Beth Israel Medical Center, Newark, NJ, USAProgram Director, Pulmonary and Critical Care Fellowship, Newark Beth Israel Medical Center, Newark, NJ, USAAcute chest syndrome (ACS) is a feared complication of sickle cell disease. Here is a case of a patient who presented with symptoms suggestive of acute chest syndrome yet had a delayed diagnosis presumably due to the lack of documented history of sickle cell disease of the patient, consequently evolving into acute respiratory distress syndrome (ARDS). He was subsequently diagnosed with heterozygous sickle cell SC disease on hemoglobin electrophoresis. After appropriate management with mechanical ventilator, broad-spectrum empiric intravenous antibiotics, exchange transfusion, and intravenous fluid resuscitation, the patient was medically optimized and safely discharged home, with significant improvement noted on successive follow-up visits.http://dx.doi.org/10.1155/2019/2893056 |
| spellingShingle | Christoph Sossou Ogechukwu Chika-Nwosuh Christopher Nnaoma Jose Bustillo Asad Chohan Etinosasere Okundaye Pratik Patel Misdiagnosis: Acute Chest Syndrome That Evolved into Acute Respiratory Distress Syndrome in a Patient without a Documented History of Hemoglobinopathy Case Reports in Medicine |
| title | Misdiagnosis: Acute Chest Syndrome That Evolved into Acute Respiratory Distress Syndrome in a Patient without a Documented History of Hemoglobinopathy |
| title_full | Misdiagnosis: Acute Chest Syndrome That Evolved into Acute Respiratory Distress Syndrome in a Patient without a Documented History of Hemoglobinopathy |
| title_fullStr | Misdiagnosis: Acute Chest Syndrome That Evolved into Acute Respiratory Distress Syndrome in a Patient without a Documented History of Hemoglobinopathy |
| title_full_unstemmed | Misdiagnosis: Acute Chest Syndrome That Evolved into Acute Respiratory Distress Syndrome in a Patient without a Documented History of Hemoglobinopathy |
| title_short | Misdiagnosis: Acute Chest Syndrome That Evolved into Acute Respiratory Distress Syndrome in a Patient without a Documented History of Hemoglobinopathy |
| title_sort | misdiagnosis acute chest syndrome that evolved into acute respiratory distress syndrome in a patient without a documented history of hemoglobinopathy |
| url | http://dx.doi.org/10.1155/2019/2893056 |
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