{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:15:18Z","timestamp":1740147318145,"version":"3.37.3"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T00:00:00Z","timestamp":1716681600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T00:00:00Z","timestamp":1716681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>We present the case of a woman with cancer, which weakened the immune system and increased the risk of infection. Thus, infections are a frequent complication of cancer. The development of community-acquired pneumonia, an acute respiratory infectious disease that damages the lung parenchyma, caused by the invasion of pathogenic microorganisms, can lead to respiratory failure with multiorgan failure due to respiratory sepsis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>Case report of a 38-year-old mixed-race woman with diabetes mellitus and irregular treatment, who was admitted with community-acquired pneumonia complicated by type I respiratory failure requiring mechanical ventilation. During her hospital stay, she developed ventilator-associated pneumonia, recurrent empyema, bronchopleural fistula, refractory septic shock and multiorgan dysfunction despite multiple interventions. The patient required prolonged mechanical ventilation, vasopressor support and antibiotic therapy. After 62\u00a0days, metastatic papillary thyroid carcinoma was diagnosed. She presented with hypoparathyroidism and permanent hypocalcemia. She died after multiple complications and a refractory critical condition.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The case exemplifies the potential severity of community-acquired pneumonia in a patient with risk factors such as diabetes and immunosuppression. It highlights the complexity of treating multiple comorbidities and the importance of multidisciplinary management with close surveillance for timely interventions for complications.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-024-04576-2","type":"journal-article","created":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T00:01:51Z","timestamp":1716681711000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Community-acquired pneumonia associated with immunosuppression due to follicular thyroid cancer: a case report"],"prefix":"10.1186","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1773-6669","authenticated-orcid":false,"given":"Lilia Jannet Saldarriaga","family":"Sandoval","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Modesta Alc\u00e1ntara","family":"Rojas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabiola Pinedo","family":"Idrogo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,26]]},"reference":[{"key":"4576_CR1","unstructured":"Centers for Disease Control and Prevention (CDC). People at high risk for flu complications. https:\/\/www.cdc.gov\/flu\/highrisk\/index.htm. Accessed 24 Sept 2020."},{"issue":"10","key":"4576_CR2","doi-asserted-by":"publisher","DOI":"10.5867\/medwave.2023.10.2719","volume":"23","author":"PG Oliveira e Silva","year":"2023","unstructured":"Oliveira e Silva PG, Cerqueira Batista Filho LA, P\u00e9rez Flores I, Vilins e Silva V, Toledo Maciel A, Seraphim Medeiros L. Neumon\u00eda adquirida en la comunidad: epidemiolog\u00eda, diagn\u00f3stico, escalas pron\u00f3sticas de gravedad y nuevas opciones terap\u00e9uticas. Medwave. 2023;23(10): e2719. https:\/\/doi.org\/10.5867\/medwave.2023.10.2719.","journal-title":"Medwave"},{"issue":"2","key":"4576_CR3","doi-asserted-by":"publisher","first-page":"128","DOI":"10.55720\/respirar.15.2.6","volume":"15","author":"JM Araiza-S\u00e1nchez","year":"2023","unstructured":"Araiza-S\u00e1nchez JM, Gonz\u00e1lez-Noris PY, Espinoza Espinosa JJ, Robledo-Jaramillo CX. Manejo de la hipoxia durante ventilaci\u00f3n unipulmonar en un paciente con absceso mediastinal y mediastinitis para toracotom\u00eda abierta. Reporte de caso. CASO CL\u00cdNICO Respirar. 2023;15(2):128\u201333. https:\/\/doi.org\/10.55720\/respirar.15.2.6.","journal-title":"CASO CL\u00cdNICO Respirar"},{"key":"4576_CR4","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1016\/jclinepi.2017.04.026","volume":"89","author":"DS Riley","year":"2017","unstructured":"Riley DS, Barber MS, Kienle GS, et al. CARE explanation and elaborations: reporting guidelines for case reports. J Clin Epidemiol. 2017;89:218\u201335. https:\/\/doi.org\/10.1016\/jclinepi.2017.04.026.","journal-title":"J Clin Epidemiol"},{"issue":"2","key":"4576_CR5","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1186\/cc13775","volume":"18","author":"AA Kalanuria","year":"2014","unstructured":"Kalanuria AA, Ziai W, Mirski M. Ventilator-associated pneumonia in the ICU. Crit Care. 2014;18(2):208. https:\/\/doi.org\/10.1186\/cc13775. (Erratum in: Crit Care. 2016;20:29. Zai, Wendy [corrected to Ziai, Wendy]).","journal-title":"Crit Care"},{"issue":"3","key":"4576_CR6","first-page":"381","volume":"33","author":"B G\u00f3mez-G\u00f3mez","year":"2017","unstructured":"G\u00f3mez-G\u00f3mez B, S\u00e1nchez-Luna JP, P\u00e9rez-Beltr\u00e1n CF, D\u00edaz-Greene EJ, Rodr\u00edguez-Weber FL. Choque s\u00e9ptico. Lo que sab\u00edamos y lo que debemos saber. Art\u00edculo de revisi\u00f3n Med Int M\u00e9x. 2017;33(3):381\u201391.","journal-title":"Art\u00edculo de revisi\u00f3n Med Int M\u00e9x"},{"issue":"11","key":"4576_CR7","doi-asserted-by":"publisher","first-page":"796","DOI":"10.3389\/fimmu.2020.00796","volume":"6","author":"X Brands","year":"2020","unstructured":"Brands X, Haak BW, Klarenbeek AM, Otto NA, Faber DR, Lutter R, Scicluna BP, Wiersinga WJ, van der Poll T. Concurrent immune suppression and hyperinflammation in patients with community-acquired pneumonia. Front Immunol. 2020;6(11):796. https:\/\/doi.org\/10.3389\/fimmu.2020.00796. (Erratum in: Front Immunol. 2020;11:626667).","journal-title":"Front Immunol"},{"issue":"Suppl 1","key":"4576_CR8","doi-asserted-by":"publisher","first-page":"34","DOI":"10.3390\/microorganisms7060168","volume":"32","author":"C Cilloniz","year":"2019","unstructured":"Cilloniz C, Dominedo C, Torres A. Neumon\u00eda en pacientes inmunosuprimidos: Una revisi\u00f3n actualizada. Rev Esp Quimioter. 2019;32(Suppl 1):34\u201341. https:\/\/doi.org\/10.3390\/microorganisms7060168.","journal-title":"Rev Esp Quimioter"},{"key":"4576_CR9","doi-asserted-by":"publisher","first-page":"3198","DOI":"10.3389\/fmicb.2018.03198","volume":"9","author":"RL Ferreira","year":"2019","unstructured":"Ferreira RL, et al. 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Critical Care Med. 2017;45(3):486\u2013552.","journal-title":"Critical Care Med"},{"key":"4576_CR12","doi-asserted-by":"crossref","unstructured":"American Diabetes Association. Standards of medical care in diabetes. Diabetes Care. 2021;44(Supplement 1):S1\u2013232.","DOI":"10.2337\/dc21-Sint"},{"issue":"6","key":"4576_CR13","doi-asserted-by":"publisher","first-page":"1126","DOI":"10.1097\/HJH.0000000000002072","volume":"37","author":"P L\u00f3pez-Jaramillo","year":"2019","unstructured":"L\u00f3pez-Jaramillo P, et al. Latin American consensus on the management of hypertension in the patient with diabetes and the metabolic syndrome. J Hypertens. 2019;37(6):1126\u201347. https:\/\/doi.org\/10.1097\/HJH.0000000000002072.","journal-title":"J Hypertens"},{"key":"4576_CR14","volume-title":"Dengue: guidelines for diagnosis, treatment, prevention, and control","author":"World Health Organization","year":"2009","unstructured":"World Health Organization. Dengue: guidelines for diagnosis, treatment, prevention, and control. Geneva: World Health Organization; 2009."}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04576-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-024-04576-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04576-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,26]],"date-time":"2024-05-26T00:01:57Z","timestamp":1716681717000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-024-04576-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,26]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4576"],"URL":"https:\/\/doi.org\/10.1186\/s13256-024-04576-2","relation":{},"ISSN":["1752-1947"],"issn-type":[{"type":"electronic","value":"1752-1947"}],"subject":[],"published":{"date-parts":[[2024,5,26]]},"assertion":[{"value":"12 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"260"}}