A 30-year-old woman was found to be agitated and subsequently convulsed by the airport medical services. According to the flight attendants, the patient complained about abdominal pain during the flight. Provisional work-up showed Glasgow Coma Score of 6, blood pressure of 175/104 mmHg, heart rate of 136/min, and SpO2 (peripheral capillary oxygen saturation) of 93% while breathing air. In the hospital, the patient was presented with generalized seizures, bilateral mydriasis, intense sweat, and suddenly, a cardiac arrest occurred.
The patient was successfully resuscitated and immediately referred to the medical intensive care unit (ICU). On ICU admission, the patient was relatively stable. She was intubated and mechanically ventilated. Clinical examination Blood pressure - 100/62 mmHg Heart rate - 113/min Pulmonary auscultation – Mild crepitations Laboratory work-up Serum sodium -…
