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A 23-year-old female presents to the ED with slurred speech, left lower leg weakness, and confusion. A friend is with her and states that the patient does not take any medications, has no past medical history, but has been complaining of various symptoms over the past year. On exam, the
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ToxCards returns with pyrethrin and pyrethroid toxicity.
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Anatomic urinary obstruction in septic shock

Occurs in 10% of those with septic shock due to urinary source

 

Associated with 27% mortality

 

Administer antibiotics, resuscitate, consult urology for source control

 

PMID: 26905806

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