Mechanical circulatory support (MCS) is a lifesaving procedure in patients with refractory cardiogenic shock. Despite improvement in surgical techniques, ICU care and restored hemodynamics, some patients on MCS remain severely debilitated due to multiple medical problems, including infections, respiratory failure, de-conditioning and nutritional deficits.
Here we present a case of a patient with persistent high degree fever, devastating muscle weakness, and elevated lactate dehydrogenase (LDH) level, who dramatically responded to treatment with vitamin B 12.
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Raichlin, Eugenia; Varnado, Sara; Um, John Y.; Moulton, Michael J.; and Zolty, Ronald Dr
"Fever of Unknown Origin in Patient after Left Ventricular Assist Device Implantation,"
The VAD Journal:
Vol. 2, Article 24.
Available at: http://uknowledge.uky.edu/vad/vol2/iss1/24