Septic shock, hyperferritinemic syndrome, and multiple organ dysfunction without respiratory failure in a patient with disseminated histoplasmosis and advanced HIV disease
Abstract:AIDS-related disseminated histoplasmosis (DH) can cause septic shock and
multiorgan dysfunction with mortality rates of up to 80%. A 41-year-old male
presented with fever, fatigue, weight loss, disseminated skin lesions, low urine
output, and mental confusion. Three weeks before admission, the patient was
diagnosed with HIV infection, but antiretroviral therapy (ART) was not
initiated. On day 1 of admission, sepsis with multiorgan dysfunction (acute
renal failure, metabolic acidosis, hepatic failure, and coagu… Show more
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