TY - CHAP M1 - Book, Section TI - Catheter-Related Bloodstream Infections A1 - Urtecho, Jacqueline S. A1 - Athas, Deena M. A2 - Lee, Kiwon Y1 - 2017 N1 - T2 - The NeuroICU Book, 2e AB - A 72-year-old man with a history of stroke, hypertension, hyperlipidemia, and metastatic lung cancer with known metastases to the brain and bone presents with status epilepticus. The patient had four generalized tonic clonic seizures lasting less than 1 minute each. He was initially treated with 6 mg of lorazepam en route, but his seizures persisted. Upon arrival in the emergency department he was intubated, loaded with phosphenytoin, and transferred to the neurologic intensive care unit (NeuroICU), and EEG monitoring was initiated. In the NeuroICU he continued to have convulsive and nonconvulsive seizures, eventually requiring high doses of midazolam and propofol to create burst suppression. His tunneled chemotherapy port was accessed for immediate infusion of midazolam. In addition, a radial arterial line was placed for blood pressure monitoring. His seizures stop on hospital day 4, but then he develops a fever of 101.9°F (38.8°C) on hospital day 6. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - neurology.mhmedical.com/content.aspx?aid=1143958092 ER -