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A 42-year-old intravenous drug user was transferred to the ward for noninvasive respiratory support after discharge from the intensive care unit, where she had been treated for fungal pneumonia and septicemia. She had alcoholic cirrhosis, chronic active hepatitis B, and hepatitis C. She had a test negative for the human immunodeficiency virus. She received oxygen and nebulized albuterol (salbutamol) and ipratropium bromide through a face mask that was attached to a noninvasive bilevel positive-airway-pressure (BiPAP) ventilator. She was recovering well when her right pupil became fixed and dilated. Examination of the cranial nerves showed no other abnormalities. A computed tomographic . . . [Full Text of this Article] |
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