Wiener klinische Wochenschrift

, Volume 127, Issue 3–4, pp 151–159 | Cite as

Clinical–Pathological Conference Series from the Medical University of Graz

Case No. 151: 19-year-old student from Albania with emergency admission due to shock
  • Elisabeth Fabian
  • Christian Madl
  • Sabine Horn
  • Peter Kornprat
  • Ralph Maderthaner
  • Ariane Aigelsreiter
  • Robert Krause
  • Peter Fickert
  • Guenter J. KrejsEmail author
Clinical-Pathological Conference

Presentation of case

Dr. S. Horn

On the day of admission, the previously healthy 19-year-old student from Albania felt sick and vomited three times. She experienced a hot flash, flickering in the visual field, and a macular rash on her abdomen, followed by loss of consciousness. The emergency physician gave her a Glasgow Coma Score (GCS) of 3. On route to the hospital, she became hypotensive. When the electrocardiography showed tachycardic supraventricular arrhythmia and fibrillation, cardioversion was performed. She was then hemodynamically stable on admission to the intensive care unit but subsequently developed fever and laboratory evidence of inflammation. Intravenous antibiotic therapy (ampicillin and sulbactam) was begun. A drug screen of her urine was positive for methamphetamine, but she later denied any drug abuse and could not imagine how she could have tested positive for the drug. Selected laboratory results: day of admission: leukocytes 17.8 G/l (normal 4.4 -11.3); 70 %...


Hydatid cyst rupture Echinococcus granulosus anaphylactic shock 



The authors express their sincere gratitude to Eugenia Lamont for language editing of the manuscript.

Conflict of interest

All authors declare that there is no conflict of interest.


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Copyright information

© Springer-Verlag Wien 2014

Authors and Affiliations

  • Elisabeth Fabian
    • 1
  • Christian Madl
    • 2
  • Sabine Horn
    • 3
  • Peter Kornprat
    • 4
  • Ralph Maderthaner
    • 5
  • Ariane Aigelsreiter
    • 6
  • Robert Krause
    • 7
  • Peter Fickert
    • 1
    • 6
  • Guenter J. Krejs
    • 1
    Email author
  1. 1.Division of Gastroenterology and Hepatology, Department of Internal MedicineMedical University of GrazGrazAustria
  2. 2.4th Department of Medicine with Subspecialities Gastroenterology, Hepatology and EndoscopyRudolfstiftung HospitalViennaAustria
  3. 3.Division of Nephrology, Department of Internal MedicineMedical University of GrazGrazAustria
  4. 4.Department of SurgeryMedical University of GrazGrazAustria
  5. 5.Division of General Diagnostic Radiology, Department of RadiologyMedical University of GrazGrazAustria
  6. 6.Department of PathologyMedical University of GrazGrazAustria
  7. 7.Section of Infectious Diseases and Tropical Medicine, Department of Internal MedicineMedical University of GrazGrazAustria

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