Acute organ failure and risk of admission to intensive medical care in cancer patients: a single center prospective cohort study.

Objective: To ascertain the cumulative incidence of acute organ failure and intensive care unit admission in cancer patients.

Methods: This was a single-center prospective cohort study of adult cancer patients admitted for unscheduled inpatient care while on systemic cancer treatment.

Results: Between August 2018 and February 2019, 10,392 patients were on systemic treatment, 358 had unscheduled inpatient care and were eligible for inclusion, and 285 were included.

Gastric perforation by fish bone with hepatic abscess formation presenting as prolonged fever.

A 70-year-old woman presented to the emergency department with a 3-week history of prolonged fever, asthenia and anorexia, denying other symptoms. Physical examination was unremarkable and the patient admitted for further investigation. Initial laboratory testing showed leucocytosis, elevated C-reactive protein and cholestasis, without hyperbilirubinemia or cytolysis.