Critical Care and Shock, February 2008, Volume 11, No. 1

Authors:
Santiago Herrero, Natalia Mendoza, Marta Muñoz Rodríguez, Dolores Mendoza, Eva García Piney, Ana María Sanchez Prieto

Authors:
Geoffrey Paul Carden, Jonathan Wayne Graham, Stuart McLennan, Leo Anthony Celi

Authors:
Salim Surani, Brenda Parrish, Melinda Toth, Joseph Varon

A middle age Caucasian gentleman presented to the Emergency Department with fever, chills and hypotension. Chest X-ray revealed consolidation in right lower lobe consistent with pneumonia. A chest radiograph after central line placement revealed a venous anomaly. CT scan with contrast revealed persistent left superior vena cava and absent right superior vena cava.

Authors:
Salim Surani, Barbara Estment, Brenda Parrish, Joseph Varon

We present the case and images of a 52 yearold Hispanic gentleman with a history of hepatitis C and chronic liver disease that developed Vibrio vulnifi cus sepsis secondary to eating raw oysters.
His course was complicated by necrotizing fasciitis in the upper extremities and renal failure.