Gamma-delta T-cell lymphomas (GD-TCL) are rare and rapidly fatal neoplasms that are often associated with Hemophagocytic Lymphohistiocytosis (HLH), a syndrome of fevers, cytopenias, and multiorgan failure that often leads to a rapid death. We report the first case demonstrating an association between GD-TCL, HLH, and cardiac amyloidosis, presenting a novel mechanism for rapid deterioration in t...

TOPIC: Critical Care TYPE: Fellow Case Reports INTRODUCTION: Intravascular lymphoma (IVL) is a rare subtype of proliferating in the lumen causing small vessel occlusion. Antemortem diagnosis difficult. The majority cases are diagnosed from autopsy. We report patient with IVL who presented sepsis unknown source complicated by multiorgan failure. CASE PRESENTATION: A 58-year-old male hypertension...

We describe the case of an adult male with nasopharyngeal carcinoma who had meningitis caused by Citrobacter farmeri. The isolate was confirmed as C. farmeri by two commercial identification systems and 16S rRNA gene analysis. The patient developed multiorgan failure and died despite antibiotic treatment with in vitro active agents (ceftriaxone and meropenem).

Sepsis is one of the leading and grossly under recognized cause of death in the world. If not recognized early and treated promptly, sepsis leads to septic shock, multiorgan failure and death. This article summarizes recently updated international guidelines for management of severe sepsis and septic shock.

Leptspirosis is a common tropical infection presenting with classical features of fever, jaundice and renal failure. Multiorgan dysfunction including Acute respiratory distress syndrome (ARDS) is a common pulmonary complication. Suclinical pancreatitis involvement is an unusual complication and should be looked for in patients presenting with laptospirosis