DAY 7
Fatima was admitted to the ICU
Fatima began to develop a severe headache.
Physical examination showed that she was febrile,
with diminished respiratory sounds at both lung
bases. Her neurological examination was normal
initially, but after five hours she became drowsy with
left lateral gaze deviation and was transferred to
the ICU.
She was then placed on mechanical ventilation.
Central nervous system (CNS) aspergillosis
was possible. An intraventricular catheter was
placed for external drainage, respiratory samples
were collected by bronchoalveolar lavage (BAL)
and a diagnostic pleural fluid tap was performed.
DAY 0
ID clinic
Decision point
Results
DAY 7
Fatima was admitted to the ICU
Fatima began to develop a severe headache. Physical examination showed that she was febrile,
with diminished respiratory sounds at both lung bases. Her neurological examination was
normal initially, but after five hours she became drowsy with left lateral gaze deviation and
was transferred to the ICU.
She was then placed on mechanical ventilation.
Central nervous system (CNS) aspergillosis was possible. An intraventricular catheter was
placed for external drainage, respiratory samples were collected by bronchoalveolar lavage (BAL)
and a diagnostic pleural fluid tap was performed.
DAY 0
ID clinic
Decision point
Results