TY - CHAP M1 - Book, Section TI - Common Infections in the ICU A1 - Tan, Miranda A1 - Oxman, David A2 - Lee, Kiwon PY - 2017 T2 - The NeuroICU Book, 2e AB - A 66-year-old man with no known medical history was admitted after a fall while working at a silo on his farm. On physical examination, he had aphasia and right upper and lower extremity weakness. Computed tomography of the head revealed a large left intracerebral hemorrhage. He was intubated on hospital day 1 because of a depressed level of consciousness. On hospital day 7 he developed a temperature of 39.1°C (102.3°F), heart rate of 99 bpm, blood pressure of 146/53 mm Hg, and a respiratory rate of 16 breaths/minute. He also required an increase in his inspired oxygen concentration from 40% to 60%. He had a moderate amount of thick, tan-colored tracheal secretions from the endotracheal tube. On physical examination, there were decreased breath sounds at the left lung base. There were no signs of exit-site erythema or drainage at the central venous catheter and right radial artery catheter insertion sites, and he had no diarrhea. A urinary catheter was in place. Peripheral blood leukocyte count was 17,600 cells/mm3. Chest imaging revealed a new left lower lung field opacity. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - neurology.mhmedical.com/content.aspx?aid=1163957589 ER -