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Patient details


Gender Female

Age 75 years old

Occupation Retired (formally a teacher)

Patient details

Illustrative patient case provided for educational purposes only

Medical history

  • Ex-smoker
  • Acute coronary syndrome
  • Hypertension
  • Chronic obstructive pulmonary disease (COPD)
  • Rheumatoid arthritis
  • Depression

Treatment history prior to admission

  • Angiotensin-converting enzyme inhibitors
  • Antidepressants
  • Antiplatelet medication
  • Bronchodilators
  • Statins
  • Corticosteroids

Presenting complaint

  • Admitted with a hip fracture following a fall at home
  • Admitted for surgery to repair the fracture
  • Patient mentions progressive clinical worsening over the past few weeks, including asthenia and dyspnoea
  • Placement of an intravenous (IV) line for surgery, and pain management
  • Placement of an indwelling (urinary) catheter
  • Developed fever, increased cough and chills 4 days after surgery
  • Admitted to the intensive care unit (ICU) for hypoxaemia and progressively worsening respiratory distress

Current treatment

  • Non-invasive ventilation and oxygen
  • Broad-spectrum antibiotics given for 48 hours with no response
  • IV line for antibiotic treatment
SciA-AFN-2300022 | July 2023