RT Journal Article SR Electronic T1 Caution for Anabolic Androgenic Steroid Use: A Case Report of Multiple Organ Dysfunction Syndrome JF Respiratory Care FD American Association for Respiratory Care SP e159 OP e163 DO 10.4187/respcare.02338 VO 58 IS 12 A1 Unai, Shinya A1 Miessau, Joseph A1 Karbowski, Pawel A1 Baram, Michael A1 Cavarocchi, Nicholas C A1 Hirose, Hitoshi YR 2013 UL http://rc.rcjournal.com/content/58/12/e159.abstract AB We report a 42-year-old male amateur body builder and user of anabolic androgenic steroids, who developed ARDS, acute kidney injury, and refractory supraventricular tachycardia. He required extracorporeal membrane oxygenation, continuous veno-venous hemodialysis, and catheter ablation. We believe that long-term anabolic androgenic steroid abuse predisposed the patient to multiple organ dysfunction syndrome, from its immunomodulatory effects in an otherwise healthy patient. Anabolic androgenic steroid use should be part of the history taking process, since it may complicate diagnosis, disease progression, and prognosis.