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Intensive Care Medicine

, 35:1314 | Cite as

Recurrent malaise and oedema in a 35-year-old female

  • R. King
  • E. Stenke
  • E. Kelly
  • S. McDermott
  • C. Hickey
  • K. Murphy
  • N. Tubridy
  • M. P. Keane
Correspondence

Sir: Systemic capillary leak syndrome (SCLS) is an exceedingly rare condition and is a rare cause of hypovolaemic shock. We report the case of an exacerbation of SCLS requiring cardiopulmonary resuscitation and intensive care.

A 35-year-old lady presented to the emergency department with a 1-day history of malaise, weakness, abdominal pain, diarrhoea and generalised oedema. She had experienced malaise approximately once weekly over the previous 8 months. One severe episode 3 months previously had required hospital admission and aggressive fluid resuscitation for hypovolaemia. She had no other significant medical history.

On physical examination, she was apyrexial, heart rate 82 beats per minute and normotensive. Her oxygen saturation was 94% on 4 L of oxygen. She had generalised oedema with cold, cyanotic peripheries. Glasgow coma scale was 15/15. The rest of the examination was normal. Routine bloods are shown in Table  1. She also had serum protein electrophoresis demonstrating the...

Keywords

Theophylline Cardiopulmonary Resuscitation Terbutaline Aminophylline Capillary Leak 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest statement

All authors listed above have no conflicts of interest to disclose.

References

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • R. King
    • 1
  • E. Stenke
    • 1
  • E. Kelly
    • 1
  • S. McDermott
    • 1
  • C. Hickey
    • 1
  • K. Murphy
    • 1
  • N. Tubridy
    • 1
  • M. P. Keane
    • 1
  1. 1.Department of MedicineSt Vincent’s University HospitalDublin 4Ireland

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