PMC:7295558 / 7517-8566 JSONTXT

{"target":"http://pubannotation.org/docs/sourcedb/PMC/sourceid/7295558","sourcedb":"PMC","sourceid":"7295558","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7295558","text":"Case 2\nA 64-year-old man who was human immunodeficiency virus (HIV)-positive presented to the ER with a 4-day history of headache and malaise. On interrogation, he referred traveling to the United States during the previous 2 weeks. Baseline characteristics are shown in Table 1. On admittance, he had a temperature of 38.3 °C. On his seventh day of hospital stay, he developed respiratory insufficiency and was intubated. Septic shock was diagnosed on the eighth day and vasopressor support was initiated. A TTE was done to evaluate shock etiology, which showed an abnormal ventricular geometry with concentric remodeling and a GLS of -18% with an LVEF of 66% (Table 2). During his time in the ICU, on day 14, the subject developed new infiltrates on his chest X-ray, so a diagnosis of ventilator-associated pneumonia was entertained, and broad-spectrum antibiotics were started. This was eventually found to be caused by Klebsiella spp, according to an endotracheal aspiration culture. On his 21st day, he presented massive hemoptysis and 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