RT Book, Section A1 Tan, Miranda A1 Oxman, David A2 Lee, Kiwon SR Print(0) ID 1163957589 T1 Common Infections in the ICU T2 The NeuroICU Book, 2e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071841443 LK neurology.mhmedical.com/content.aspx?aid=1163957589 RD 2024/10/03 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.