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Leptospirosis with Pulseless Electrical Activity (PEA) cardiac arrest in multiple comorbid patient

Leptospirosis is one of the endemic diseases in Malaysia. It has a broad spectrum of clinical manifestation ranging from mild illness to life-threatening illness. We report a case of 56-year-old male with multiple comorbidities, who came with history of fever, cough, abdominal pain, vomiting and...

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Main Authors: Amirudin S,, Ismail Mohd Saiboon,
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2020
Online Access:http://journalarticle.ukm.my/16288/1/25_ms0341_pdf_13541.pdf
http://journalarticle.ukm.my/16288/
https://www.medicineandhealthukm.com/toc/15/2
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spelling my-ukm.journal.162882021-03-16T01:34:54Z http://journalarticle.ukm.my/16288/ Leptospirosis with Pulseless Electrical Activity (PEA) cardiac arrest in multiple comorbid patient Amirudin S, Ismail Mohd Saiboon, Leptospirosis is one of the endemic diseases in Malaysia. It has a broad spectrum of clinical manifestation ranging from mild illness to life-threatening illness. We report a case of 56-year-old male with multiple comorbidities, who came with history of fever, cough, abdominal pain, vomiting and diarrhea for two days. He presented to the Emergency Department (ED) unresponsive with pulseless electrical activity (PEA). He was resuscitated and achieved return of spontaneous circulation (ROSC) shortly after it. It was complicated with hyperosmolar hyperglycemic state (HHS), oliguric acute kidney injury and non-ST elevation myocardial infarction (NSTEMI). He was then admitted to intensive care unit (ICU) and treated with IV Ceftriaxone 2 g daily for 4 days then was changed to IV Ceftazidime 2 g twice per day for 1 week because of ventilator acquired pneumonia (VAP). His condition improved and was discharge home well after 18 days of admission. Pusat Perubatan Universiti Kebangsaan Malaysia 2020-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/16288/1/25_ms0341_pdf_13541.pdf Amirudin S, and Ismail Mohd Saiboon, (2020) Leptospirosis with Pulseless Electrical Activity (PEA) cardiac arrest in multiple comorbid patient. Medicine & Health, 15 (2). pp. 290-296. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/15/2
institution Universiti Kebangsaan Malaysia
building Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Leptospirosis is one of the endemic diseases in Malaysia. It has a broad spectrum of clinical manifestation ranging from mild illness to life-threatening illness. We report a case of 56-year-old male with multiple comorbidities, who came with history of fever, cough, abdominal pain, vomiting and diarrhea for two days. He presented to the Emergency Department (ED) unresponsive with pulseless electrical activity (PEA). He was resuscitated and achieved return of spontaneous circulation (ROSC) shortly after it. It was complicated with hyperosmolar hyperglycemic state (HHS), oliguric acute kidney injury and non-ST elevation myocardial infarction (NSTEMI). He was then admitted to intensive care unit (ICU) and treated with IV Ceftriaxone 2 g daily for 4 days then was changed to IV Ceftazidime 2 g twice per day for 1 week because of ventilator acquired pneumonia (VAP). His condition improved and was discharge home well after 18 days of admission.
format Article
author Amirudin S,
Ismail Mohd Saiboon,
spellingShingle Amirudin S,
Ismail Mohd Saiboon,
Leptospirosis with Pulseless Electrical Activity (PEA) cardiac arrest in multiple comorbid patient
author_facet Amirudin S,
Ismail Mohd Saiboon,
author_sort Amirudin S,
title Leptospirosis with Pulseless Electrical Activity (PEA) cardiac arrest in multiple comorbid patient
title_short Leptospirosis with Pulseless Electrical Activity (PEA) cardiac arrest in multiple comorbid patient
title_full Leptospirosis with Pulseless Electrical Activity (PEA) cardiac arrest in multiple comorbid patient
title_fullStr Leptospirosis with Pulseless Electrical Activity (PEA) cardiac arrest in multiple comorbid patient
title_full_unstemmed Leptospirosis with Pulseless Electrical Activity (PEA) cardiac arrest in multiple comorbid patient
title_sort leptospirosis with pulseless electrical activity (pea) cardiac arrest in multiple comorbid patient
publisher Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate 2020
url http://journalarticle.ukm.my/16288/1/25_ms0341_pdf_13541.pdf
http://journalarticle.ukm.my/16288/
https://www.medicineandhealthukm.com/toc/15/2
_version_ 1695531691000463360
score 13.211869

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