Gastric Strongyloides with Ulceration and Klebsiella pneumonia Bacteraemia

Strongyloides infection is usually confi ned to small intestine in gastrointestinal tract. Gastric mucosal Strongyloides with ulceration is extremely uncommon. We describe a patient who presented with gastrointestinal bleeding with gastric Strongyloides diagnosed by biopsy from the base of the gastric ulcer. Patient was treated with ivermectin 9 mg once a day for 2 days. The hospital stay was complicated by severe Klebsiella pneumoniae bacteraemia which needed treatment with meropenem for 2 weeks. Patient was discharged after 40 days of hospital stay.


Effectiveness Study of rHuEPO in the ICU

In this real-world retrospective analysis, critically ill patients treated with rHuEPO did not experience clinical benefi ts; however, patients were sicker and received rHuEPO late in their ICU stay. Monitoring prescribing patterns and patient selection of rHuEPO treatment in critically ill patients in clinical practice is recommended to optimize rHuEPO use and outcomes.


Editorial Board Member

  • Youzhong An

    People's Hospital, Peking University, Deparment of SICU
    Xi Zhi Men South str, Beijing

  • Simon Nanlohy

    Intensive Care Unit, Mitra Keluarga Kelapa Gading Hospital
    Jakarta, Indonesia

  • Vivi Medina Ginting

    Mitra Keluarga Kelapa Gading Hospital
    Jakarta, Indonesia

  • IH Chaudry

    Department of Surgery
    Brown University and Rhode Island Hospital
    Providence - USA

  • E. Faist

    Department of Surgery
    Ludwig Maximilians University
    Munich - Germany

  • Carole Ichai

    Departement Anesthesie-Reanimation
    CHU NIce Hopital Saint-Roche
    Nice - France

  • T. Kubota

    Department of Intensive and Critical Care Medicine
    Jichi Medical School
    Tochigi - Japan

  • Chae-Man Lim

    Asan Medical Center
    University of Ulsan College of Medicine Poongnap Dong
    Seoul - Korea

  • KS Ng

    Department of Anaesthesia & Surgical Intensive Care
    Changi General Hospital

  • S. McKinley

    Faculty of Nursing, Midwifery and Health
    University Technology Of Sydney
    Sydney - Australia

  • Shin Ok Koh

    Department Anesthesiology, Division Intensive Care Unit
    Yonsei University Medical Center
    Seoul - Korea

  • PJ Papadakos

    Department of Anesthesiology
    Rochester University of Medicine
    Rochester - USA

  • VG Reddy

    Intensive Care Unit, Department of Anesthesia
    College of Medicine Muscat
    Sultanate of Oman

  • Mervyn Singer

    Bloomsbury Institute of Intensive Care Medicine
    Wolfson Institute of Biomedical Research
    London - United Kingdom

  • IKS Tan

    Department of Anesthesia
    Pamela Youde Nethersole Eastern Hospital
    Hong Kong

  • JL Vincent

    Department of Intensive Care
    Erasme University Hospital
    Brussels - Belgium

  • Pravin R. Amin

    Bombay Hospital & Medical Research Centre

  • Luciana B. Sutanto

    Jakarta, Indonesia

  • DB Chalfin

    SICU and Surgical Critical Care
    Beth Israel Medical Center
    New York - USA

  • Noel Cano

    Service Hepato- gastroenterology and Nutrition
    Clinique Residence du Parc
    Marseille - France

  • Robert E. Fromm

    Pulmonary & Critical Care Section
    Baylor College of Medicine, Academic Office, Dorrington
    Houston - USA

  • KM Iqbal

    Department of Anesthesiology
    Institute of Post Graduate Medicine and Research
    Dhaka - Bangladesh

  • YL Kim

    Department of Anesthesiology
    College of Medicine, Seoul National University Hospital
    Seoul - Korea

  • T. Maekawa

    Department of Emergency Medicine and Intensive Care
    Yamaguchi University School of Medicine
    Ube-City - Japan

  • Xian Jun Meng

    Institute of Surgical Research
    General Hospital of Chinese PLA

  • Paul Marik

    University of Pittsburgh Medical School Pittsburgh
    University of Pittsburgh Medical School Pittsburgh
    PA - USA

  • K. Okada

    Department of Anesthesiology
    School of Medicine Teikyo University
    Tokyo - Japan

  • Fang Qiang

    Intensive Care Unit
    First Affiliated Hosptal Zhejiang University
    Hangzhou - China

  • John H. Reeves

    Department of Intensive Care
    Epworth Hospital, Richmond
    Victoria - Australia

  • MM Sayeed

    Burn and Shock Trauma Institute
    Loyola University Medical Center, Illinois, Maywood
    Chicago - USA

  • J. Takala

    Department of Anesthesiology and Intensive Care
    Bern University Hospital
    Bern - Switzerland


Senior Editors

  • E. Benjamin

    Surgical Intensive Care Unit, Department of Surgery
    Mt Sinai School of Medicine
    New York - USA

  • Chen Dechang

    Professor Of Surgery
    Peking Union Medical College Hospital
    Beijing - China

  • PSK Tan

    Department of Anesthesiology
    University of Malaya
    Kuala Lumpur - Malaysia

  • GJ Dobb

    Intensive Care Unit, Royal Perth Hospital School of Medicine and Pharmacology
    University of Western Australia
    Perth, Australia

  • Y. Koh

    College of Medicine, University of Ulsan
    Asan Medical Center
    Seoul - Korea

  • Dessmon YH Tai

    Senior Consultant, Medical Intensive Care Unit, Department of Respiratory Medicine, Tan Tock Seng Hospital, Singapore.
    Senior Clinical Lecturer, Yong Loo Lin School of Medicine, National University of Singapore.


Associate Editors


  • Robert E. Fromm

    Cardiology Section, The Methodist Hospital, Houston, Texas.

  • Paul Marik

    Jefferson University School of Medicine. Philadelphia, USA.

Asia and Pacific

  • Anthony McLean

    Department of Intensive Care. Nepean Hospital, Sydney, Australia.

  • Dessmon YH Tai

    Senior Consultant, Medical Intensive Care Unit, Department of Respiratory Medicine, Tan Tock Seng Hospital, Singapore.
    Senior Clinical Lecturer, Yong Loo Lin School of Medicine, National University of Singapore.

  • Ross Freebairn

    Medical Director, Intensive Care Services, Hawke’s Bay Hospital, Hasting NZ.


  • Santiago Herrero Fernandez

    Department of Intensive Care and Coronary Unit, Hospital de Cabueñes, Gijón, Asturias, Spain

Middle East

  • Mahmoud ElBarbary

    Department of Cardiac Sciencies. King Abdul Aziz Medical City, Riyadh-Saudi Arabia.
    Director of the National and Gulf Center for Evidenced Based Medicine.

  • Abdullah Al-Shimemeri

    Department of Intensive Care. King Fahad National Guard Hospital, Riyadh, Saudi Arabia.



Joseph Varon, MD, FACP, FCCP, FCCM

Chief of Critical Care Services
University General Hospital
Houston, Texas 77030

Clinical Professor of Medicine
The University of Texas Medical Branch, Galveston

Clinical Office:

2219 Dorrington
Houston, Texas 77030
713-669-1671 FAX

Academic Office:

713-839-1467 FAX


About us

Critical Care and Shock has its origin in the regular discussions of a small circle of intensivists from the US, Europe, Japan, and Indonesia who pioneered the international conference of critical care medicine, better known as the Indonesian-International Symposium on Shock and Critical Care, which is held annually in Indonesia since 1994. It was thought at that time that it would be worthwhile to publish a journal in critical care medicine as part of the effort to support and promote the annual conference and to share the latest advances in critical care with the potential readers in Western Pacific region that might complement favorably to the conference.

The first issue of Critical Care and Shock appeared in June 1998 featuring the articles mostly from the guest speakers of the annual Indonesian-International Symposium on Shock and Critical Care.

From its beginning Critical Care and Shock has been the official journal of the Indonesian Society of Critical Care Medicine.

By 1999, at the Council meeting of Western Pacific Association of Critical Care Medicine (WPACCM), it was approved to adopt Critical Care and Shock as the official journal of WPACCM. Also, as of the February issue of 2001, Critical Care and Shock has become the official journal the Philippines Society of Critical Care Medicine.

At present, Critical Care and Shock is enjoying increasing readership in the countries of the Western Pacific region, and welcome the submission of manuscripts from intensivists and other professionals in critical care around the globe to be published in its future issues.