VAERS 2314133
MERCK & CO. INC. · PNEUMO (PNEUMOVAX) · Charge U030719
- Staat
- MI
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 09.06.2022
- Impfdatum
- 08.05.2022
- Beginn
- 01.06.2022
- Tage bis Beginn
- 24,0
- Dosis
- N/A
- Route/Site
- - / -
Symptomtext
BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 6/1/2022 Discharge Date: Jun 6, 2022 PRESENTING PROBLEM: Sepsis [A41.9] AKI (acute kidney injury) [N17.9] Sepsis with acute organ dysfunction without septic shock, due to unspecified organism, unspecified type [A41.9, R65.20] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 67 year old man who recently had radical prostatectomy with LN dissection for stage IV prostate cancer 6 weeks prior to admission. He had left PCN placed recently for hydronephrosis and right PCN placed for urinary diversion after bladder leak was discovered. Recently tx for E coli uti with ciproflocacin as well. He presented this time with severe sepsis with aki and left flank pain found to have left PCN tube malpositioned and incidentally covid +. He has hx of copd and has been on 3L oxygen since prior discharge during surgery admission. He was started on broad spectrum antibiotics and urology and IR were consulted. IR repositioned the left PCN and converted both tubes to nephroureteral tubes for better diversion. Urology had no further reccs. He also had recent DVT and PE so he was maintained on heparin gtt while home eliquis was held. He required 1 u prbcs for hgb < 7 but had no active bleeding. IR noted ascites and placed a drain into peritoneal fluid as well. He grew enterococcus on blood cultures and antibiotics changed to add vancomcin and ultimately de escalated to ampicillin with planned amoxicillin on discharge per ID. Echo was negative for vegetations. His aki resolved and home lasix was resumed. PT recommended home discharge which was arranged.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pulmonary embolism
- Hospital-Tage
- 5,0
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- CAD (coronary artery disease) Benign essential HTN Mixed hyperlipidemia OSA (obstructive sleep apnea) Ischemic cardiomyopathy COPD (chronic obstructive pulmonary disease) CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min CTS (carpal tunnel syndrome) Derangement of posterior horn of medial meniscus of left knee ED (erectile dysfunction) Family history of colon cancer Foraminal stenosis of cervical region GERD (gastroesophageal reflux disease) Hemochromatosis carrier Hypothyroidism LVH (left ventricular hypertrophy) Prostate cancer MUSIC no PRO S/P CABG x 3 Type 2 diabetes mellitus without complication, without long-term current use of insulin Chronic systolic heart failure Hematuria, unspecified type History of hepatitis C Advanced care planning/counseling discussion Shock Pulmonary embolism AKI (acute kidney injury) Change in bowel habits Restless legs syndrome (RLS) Hospital discharge follow-up Nephrostomy tube failure with subsequent urine leak Sepsis
- Andere Medikamente
- potassium chloride SA (K-DUR, KLOR-CON M) 10 MEQ controlled release tablet acetaminophen (TYLENOL) 325 MG tablet albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulization albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base)
- Allergien
- None
- Vorherige Impfungen
- -