scholarly journals Management of life-threatening staphylococcal septic shock in a breastfeeding woman with breast abscess: A case report

2022 ◽  
Vol 91 ◽  
pp. 106739
Author(s):  
Chunxiang Tian ◽  
Ping Ning
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Breast Abscess ◽  
Life Threatening

Sepsis and thyroid storm in a patient with methimazole-induced agranulocytosis

2020 ◽  
Vol 13 (7) ◽  
pp. e235536
Author(s):  
Vaishnavi Divya Nagarajan ◽  
Alba Morales ◽  
Lawtanya Pleasant ◽  
Asha Shenoi
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Beta Blockers ◽  
Thyroid Storm ◽  
First Line ◽  
Bridging Therapy ◽  
Definitive Therapy ◽  
Paediatric Case ◽  
Threatening Condition ◽  
Life Threatening

Paediatric hyperthyroidism cases are mostly caused by Grave’s disease. Thyroid storm is a life-threatening condition seen rarely, in severe thyrotoxicosis, occurring in about 1%–2% of patients with hyperthyroidism. Antithyroid medications and beta-blockers are typically the first-line management of thyroid storm. We report a challenging case of a 15-year-old girl who presented with thyroid storm in the setting of septic shock and methimazole-induced agranulocytosis. Since the first-line agents were contraindicated, plasmapheresis was used to control the thyroid storm and as a bridging therapy to the definitive therapy of early thyroidectomy. This is the first paediatric case report that outlines the use of plasmapheresis in the management of complicated thyrotoxicosis in a setting of septic shock.

Nutrition in open abdomen

2021 ◽  
Vol 100 (2) ◽  
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Nutritional Support ◽  
Open Abdomen ◽  
Comprehensive Approach ◽  
Severe Stress ◽  
Nutritional Care ◽  
Threatening Condition ◽  
Life Threatening ◽  
Intestinal Fistulas

Open abdomen is known as a serious consequence of various intra-abdominal pathologies. Initially, patients often have a life-threatening condition, sepsis or septic shock. Severe stress related malnutrition, mineral and fluid imbalance develop as metabolic consequences. Intestinal fistulas also occur as a frequent complication in patients with open abdomen. In such patients, a comprehensive approach is needed, including rehabilitation, nutritional support using optimal formulas, and local care for the open abdomen. Our case report presents a patient with open abdomen and enterocutaneous fistulation. A complex nutritional approach in the course of the disease is described and its importance is discussed. Finally, a summary of nutritional care for open abdomen patients is provided based on current recommendations.

scholarly journals Appearance can be Deceptive- A Case Report on Central Venous Line Complication

2021 ◽  
Vol 14 (1) ◽  
pp. 73-75
Author(s):  
Mohammod Ali ◽  
Fauzia Khan ◽  
Sudhakar Sarker ◽  
Abul Hasan Muhammad Bashar ◽  
Abdul Wadud Chowdhury
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Parenteral Nutrition ◽  
Aspiration Pneumonia ◽  
Drug Administration ◽  
Fluid Resuscitation ◽  
Central Venous Line ◽  
Central Venous ◽  
Central Lines ◽  
Life Threatening

Central venous (CV) lines are widely used for anything from rapid fluid resuscitation, to drug administration, to parenteral nutrition, and even for administering hemodialysis. Central lines come in different sizes, types, and sites of administration. Sometimes their use can be associated with complications as well. Our patient is an 85 years old hypertensive, diabetic female presenting with post COVID fibrosis with aspiration pneumonia with septic shock. After admissions in ICU, CV line was inserted through right sub-clavian venous route for administration of essential medications including inotropes. However, forceful backflow of blood was noticed after insertion of CV line raising the suspicion of arterial insertion. It was later confirmed by CXR, ABG and duplex arterial study. Taking appropriate precautions, we were able to remove the CV line safely without any complications. Sometimes minor and easy things like CV like insertion can become life threatening. But with proper knowledge and planning we can overcome any complications. Cardiovasc j 2021; 14(1): 73-75

scholarly journals Aortic Dissection Presenting as Septic Shock: A Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Jing Feng ◽  
Rui Liu ◽  
Sai Ma ◽  
Changkui Cao ◽  
Wei Zhang ◽  
...  
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Chest Pain ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Barrier Dysfunction ◽  
Aged Patients ◽  
First Case ◽  
Life Threatening ◽  
Epithelial Barrier Dysfunction

Acute aortic dissection is a life-threatening clinical emergency, which mostly occurs in aged patients and presents with sharp chest pain. In this paper, we reported a case of acute aortic dissection, which induced septic shock in a young woman, without typical chest pain. The septic shock was possibly due to the bacterial translocation caused by aortic dissection-induced intestinal ischemia and intestinal epithelial barrier dysfunction. Our case appeared as the first case report of aortic dissection presenting as septic shock. This case is rare but can serve as a reminder that aortic dissection may be accompanied by septic shock, and this could result in a grave outcome.

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

Difficulties in the treatment of septic shock in a patient with status epilepticus – a case report

2016 ◽  
Vol 7 (1) ◽  
pp. 61-64
Author(s):  
Urszula Zielińska-Borkowska ◽  
Aneta Słabuszewska-Joźwiak
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Status Epilepticus

Effect of Undertriage on the Outcomes of Cancer Patients with Febrile Neutropenia, Sepsis, and Septic Shock

2021 ◽  
pp. 105477382199968
Author(s):  
Anas Alsharawneh
Keyword(s):  
Emergency Department ◽  
Septic Shock ◽  
Length Of Stay ◽  
Febrile Neutropenia ◽  
Cancer Patients ◽  
Emergency Setting ◽  
Extended Length ◽  
Life Threatening ◽  
Sepsis And Septic Shock ◽  
Timely Treatment

Sepsis and neutropenia are considered the primary life-threatening complications of cancer treatment and are the leading cause of hospitalization and death. The objective was to study whether patients with neutropenia, sepsis, and septic shock were identified appropriately at triage and receive timely treatment within the emergency setting. Also, we investigated the effect of undertriage on key treatment outcomes. We conducted a retrospective analysis of all accessible records of admitted adult cancer patients with febrile neutropenia, sepsis, and septic shock. Our results identified that the majority of patients were inappropriately triaged to less urgent triage categories. Patients’ undertriage significantly prolonged multiple emergency timeliness indicators and extended length of stay within the emergency department and hospital. These effects suggest that triage implementation must be objective, consistent, and accurate because of the several influences of the assigned triage scoring on treatment and health outcomes.

Sign in / Sign up

Export Citation Format

Share Document