{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T23:52:55Z","timestamp":1783986775373,"version":"3.55.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2013,12,1]],"date-time":"2013-12-01T00:00:00Z","timestamp":1385856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:p>We report a 42-year-old male amateur body builder and user of anabolic androgenic steroids, who developed ARDS, acute kidney injury, and refractory supraventricular tachycardia. He required extracorporeal membrane oxygenation, continuous veno-venous hemodialysis, and catheter ablation. We believe that long-term anabolic androgenic steroid abuse predisposed the patient to multiple organ dysfunction syndrome, from its immunomodulatory effects in an otherwise healthy patient. Anabolic androgenic steroid use should be part of the history taking process, since it may complicate diagnosis, disease progression, and prognosis.<\/jats:p>","DOI":"10.4187\/respcare.02338","type":"journal-article","created":{"date-parts":[[2013,4,23]],"date-time":"2013-04-23T23:57:04Z","timestamp":1366761424000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Caution for Anabolic Androgenic Steroid Use: A Case Report of Multiple Organ Dysfunction Syndrome"],"prefix":"10.1177","volume":"58","author":[{"given":"Shinya","family":"Unai","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Miessau","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawel","family":"Karbowski","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Baram","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Department of Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas C","family":"Cavarocchi","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Hirose","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,12,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2165\/11598060-000000000-00000"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2011.05.011"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1594.2012.01496.x"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2008.05.004"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1159\/000333037"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-009-9571-8"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0960327111408152"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-2-340"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.2174\/138955711795445907"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-002-0335-4"},{"issue":"3","key":"e_1_3_2_12_2","first-page":"131","article-title":"ARDS in an HIV-positive patient associated with respiratory syncytial virus","volume":"13","author":"Voigt E","year":"2008","unstructured":"Voigt E, , Tillmann RL, , Schewe JC, , Molitor E, , Schildgen O. ARDS in an HIV-positive patient associated with respiratory syncytial virus. Eur J Med Res, 2008; 13(3):131-132.","journal-title":"Eur J Med Res"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMct1103720"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2006.11.199"},{"issue":"6","key":"e_1_3_2_15_2","first-page":"791","article-title":"At what price, glory? Severe cholestasis and acute renal failure in an athlete abusing stanozolol","volume":"151","author":"Yoshida EM","year":"1994","unstructured":"Yoshida EM, , Karim MA, , Shaikh JF, , Soos JG, , Erb SR. At what price, glory? Severe cholestasis and acute renal failure in an athlete abusing stanozolol. CMAJ, 1994; 151(6):791-793.","journal-title":"CMAJ"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1024477"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.02338","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.02338","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.02338","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:07:34Z","timestamp":1777615654000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.02338"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12]]},"references-count":15,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["10.4187\/respcare.02338"],"URL":"https:\/\/doi.org\/10.4187\/respcare.02338","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2013,12]]}}}