Research ArticleUnder the Microscope

Ochsner Medical Case Study

Ochsner Journal October 2001, 3 (4) 235;

Presentation

A 32-year-old female with chronic ulcerative colitis underwent restorative procotolectomy. Because of enterovaginal fistula formation, she underwent another surgery for illieal pouch excision and revision S-type pouch with anal anastomosis. Sepsis, pulmonary embolism, cardiomyopathy, and respiratory failure requiring mechanical ventilation complicated her postoperative course. Her sepsis was treated with vancomycin, imipenem/cilastin, and ciprofloxacin. The only other medication she was on was sucralfate.

Questions

  1. What is your diagnosis for the EKG in Figure 2?

  2. How would you treat the condition?

  3. Which medication would you stop?

  4. Would you screen her family for the above condition?

Figure 1.
Figure 1.

EKG before hospitalization

Figure 2.
Figure 2.

EKG during hospitalization

Figure 3.
Figure 3.

EKG after treatment

Answers on page 242.

This issue's Medical Case Study was prepared by Mahesh Mulumudi, MD. Dr. Mulumudi is a Fellow in Ochsner's Department of Cardiology.

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