Over the next few days, there will probably be moments when Irma's satellite presentation deteriorates.
Within 24 hours of presentation her condition deteriorated and she required intubation and mechanical ventilation.
Over the following 2 years prior to presentation he rapidly deteriorated such that when assessed he was severely apathetic and speech output was minimal.
Later the following day, eight days since her first presentation, she suddenly deteriorated over a few minutes and went into cardio-respiratory arrest with pulseless electrical activity (PEA)/asystole.
Within one month of her presentation she had deteriorated to the point where there were periods of time when she appeared not to be aware of her surroundings and was ataxic to the point where she needed to be fully supported when walking.
His clinical result then progressively deteriorated and at presentation he had painful knee flexion to 20° only.
At the later presentation with ASI, two patients had deteriorated to grade C (8.7 %) and three had weakness grade D (13 %).
Her condition and the condition of her sister (III:8) deteriorated within 3 years after initial presentation, resulting in a severely reduced pump function (2.4 and 2.1 l/min, respectively, measured using thermodilution; normal range: 4.0 10.2 l/min).
Further surgical debridement was performed every other day if progressive necrotic changes combined with a deteriorating clinical presentation were observed.
This immediately deteriorated.
