Critical Care

Febrile illness has a broad differential diagnosis, particularly among persons infected with human immunodeficiency virus (HIV). Infectious complications of immunodeficiency must always be high on this differential, but clinicians must also consider HIV-associated malignancies as an explanation for fever in this population. We present the case of a 48-year-old man with...
(Vol 11 p 34-36, Critical Care; Infection and Immunity; Oncology; Virology: 6 April 2011)
Although splenomegaly is found in approximately two thirds of patients with infectious mononucleosis (IM), splenic rupture is uncommon. However, it constitutes the single largest cause of mortality in this group. True atraumatic splenic rupture is very rare and is seen in only 0.5% of all cases of IM. We present a case of a 22-year-old man with atraumatic...
(Vol 9 p 6-8, Critical care, General surgery: 16 March 2009)
Electrical brain responses to words semantically related versus unrelated to their context were recorded in a coma patient on days 6 (Glasgow Coma Scale, GCS=6) and 22 (GCS=9). Significant differences between related and unrelated words (which were completely matched in their physical features) were consistently observed in both examinations. This is the first evidence...
(Vol 5 p 37-41, Neurology, Medical psychology, Critical care: September 2005)
Central venous cannulation via the internal jugular vein caused an unusual complication in a patient with a coaugulopathy. The formation of a non-clinically detectable haematoma, with secondary venous compression, resulted in the formation of glottic oedema, which caused significant upper airway obstruction.
(Vol 3 p 3-5, Anaesthesia and critical care: January 2003)

Editor-in-Chief

Frank Cross
Consultant Surgeon
St. Bartholomew's and The London NHS Trust, UK

Editors

Neil Barnes
Consultant Physician
St. Bartholomew's and The London NHS Trust, UK
Ali Jawad
Consultant Rheumatologist
St. Bartholomew's and The London NHS Trust, UK
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