A 70-year-old man was admitted to a hospital for hemodialysis. He was transferred from the hemodialysis unit to an Emergency Room because of fever, shortness of breath, dry cough, abdominal pain, and diarrhea. History He had a history of chronic kidney failure. Type 2 Diabetes mellitus (DM) since 20 years Malaise since 15 days Also, he had suffered from arterial hypertension, upper and lower extremity peripheral arterial disease, carotid artery disease, and a first-degree atrioventricular heart block.
The patient had smoked one packet of cigarettes per day for the last 20 years Examinations Heart rate: 92 beats/min Respiratory rate: 14 breaths/min Blood oxygen saturation: 97% Arterial blood pressure: 130/70 mmHg Bilateral blindness and mild epistaxis through the left nostril A chest X-ray revealed a costal mass. It was further verified by tomography and gammagraphy. The mass was…
