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Autopsy and Medicine
February 9, 1998

Case of the Month

Grover M. Hutchins, MD; Randy Hanzlick, MD; Autopsy Committee of the College of American Pathologists
Arch Intern Med. 1998;158(3):219-220. doi:10.1001/archinte.158.3.219

A 28-YEAR-OLD MAN with long-standing asthma was admitted to the hospital in status asthmaticus. Necessary treatment modalities included high-dose methylprednisolone, sedation, and succinylcholine-induced paralysis for intubation. Pulmonary infiltrates were noted on a chest radiograph, and the patient could not be weaned from ventilation use. Decreasing consciousness was observed, and the results of a computed tomographic scan of the head showed ring-enhancing lesions in the right frontal and left parietal cerebral lobes. After rapid neurologic decline, the patient died.

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