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Dr. Mathias Lichterfeld (Infectious Disease): A 25-year-old man was admitted to this hospital because of coma after cardiac arrest.
He had been well until 4 hours before admission, when he was seen to have had seizurelike movements and to have collapsed, without pulse or respirations. Emergency medical services was called and arrived approximately 7 minutes later. Examination disclosed ventricular fibrillation. Cardiopulmonary resuscitation, including the administration of epinephrine and atropine and electrical defibrillation followed by the administration of lidocaine, was performed; a junctional cardiac rhythm was established after 4 minutes. The patient remained hypotensive and unconscious. He was transported to this
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Anatomical Diagnosis
Source Information
From the Infectious Disease Unit (C.N.K.) and the Departments of Transplant Surgery (N.E.) and Pathology (R.L.K.), Massachusetts General Hospital, Boston; New England Organ Bank, Newton, MA (F.L.D.); and the Departments of Medicine (C.N.K.) and Surgery (N.E., F.L.D.), Harvard Medical School, Boston.
Related Letters:
Case 15-2009: A Man with Coma after Cardiac Arrest
Hauptman P. J., Keller D. L., Kamin D. S., Burchett S., Kim H. B., Kotton C. N., Elias N., Delmonico F. L.
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N Engl J Med 2009;
361:724-725, Aug 13, 2009.
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