Clinical Dilemmas in Infectious Diseases
Clinical Dilemmas in Infectious Diseases is a section of CID that features clinical problem-solving exercises. In these articles, a patient’s course is presented sequentially to a clinical discussant who then details their reasoning and approach to the case as it unfolds. This series is designed to highlight the clinical reasoning of infectious diseases clinicians and feature cases in which discussants tackle challenging diagnostic or management scenarios. Learn more about how to submit a Clinical Dilemma in Infectious Diseases article here.
A 64-year-old man was admitted for sepsis 4 days after transurethral resection of the prostate (TURP). Immediately post-operatively he had experienced urinary frequency, dysuria, and hematuria, and subsequently developed fevers, cough, and dyspnea. His medical history included type 2 diabetes ...
On admission his temperature was 38.4°C, with a heart rate of 90 beats per minute, blood pressure of 150/90 mm Hg, respiratory rate of 20 breaths per minute, and oxygen saturation of 98% on room air. On examination, he was ill-appearing, but alert, interactive, and oriented. There were no murmurs ...
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