title: Respiratory distress during total parenteral nutrition.
abstract: We report on a patient who developed fatal respiratory distress two days after starting parenteral feeding for malnutrition complicating Crohn's disease. Post mortem examination revealed pulmonary collapse secondary to mediastinal leak of the infusion fluid due to an undiagnosed erosion of the vascular catheter tip through the brachiocephalic vein.
authors.forename: C
authors.initials: C
authors.lastname: Rayner
authors.forename: J
authors.initials: J
authors.lastname: Richards
authors.forename: T G
authors.initials: TG
authors.lastname: Williams
authors.forename: G
authors.initials: G
authors.lastname: Venkat Raman
mesh_terms: D000368:Aged; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003424:Crohn Disease / Q000628:therapy; D005260:Female; D006801:Humans; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D012131:Respiratory Insufficiency / Q000209:etiology*