FEATURES OF THE MOST ACUTE SEPSIS AND SEPTIC SHOCK
DOI:
https://doi.org/10.11603/1681-2727.2022.1.13024Keywords:
sepsis, infectious-toxic shock, suggestions, diagnosisAbstract
The problem of the most acute gram-positive and gram-negative sepsis as a nosologically independent infectious disease is considered, taking into account its immune-dependent pathogenesis, symptoms, diagnosis and treatment. The clinical picture and diagnosis of septic infectious-toxic shock, as well as emergency measures in this condition are described.
A typical case of the most acute sepsis is given. The diagnosis was established primarily on the basis of clinical data. Thus, the development of infectious-toxic shock in the first hours of the disease is very characteristic. Sugillations on the distal extremities are characteristic manifestations of malignant disease. Anamnestic, laboratory and instrumental methods played a supporting role. Despite the lack of bacteriological establishment of the etiology of sepsis, the diagnosis is beyond doubt.
References
Rebenok, Zh.A. (2007). Sepsis: modern problems. Minsk: Chetyre chetverti [in Russian].
Kopcha, V.S. (2018). Sepsis – syndrome or infectious disease? Evolution of dilem. Infektsiyni khvoroby – Infectious Diseases, 4 (94), 33-43 [in Ukrainian].
Kochanek, M., Schalk, E., von Bergwelt-Baildon, M., Beutel, G., Buchheidt, D., Hentrich, M., ... & Böll, B. (2019). Management of sepsis in neutropenic cancer patients: 2018 guidelines from the Infectious Diseases Working Party (AGIHO) and Intensive Care Working Party (iCHOP) of the German Society of Hematology and Medical Oncology (DGHO). Annals of Hematology, 98 (5), 1051-1069.
Seymour, C.W., & Rosengart, M.R. (2015). Septic shock: advances in diagnosis and treatment. Jama, 314 (7), 708-717.
Alexander, J.W., Solomkin, J.S., & Edwards, M.J. (2011). Updated recommendations for control of surgical site infections. Annals of Surgery, 253 (6), 1082-1093.
Schnell, D., Azoulay, E., Benoit, D., Clouzeau, B., Demaret, P., Ducassou, S., ... & Darmon, M. (2016). Management of neutropenic patients in the intensive care unit (NEWBORNS EXCLUDED) recommendations from an expert panel from the French Intensive Care Society (SRLF) with the French Group for Pediatric Intensive Care Emergencies (GFRUP), the French Society of Anesthesia and Intensive Care (SFAR), the French Society of Hematology (SFH), the French Society for Hospital Hygiene (SF2H), and the French Infectious Diseases Society (SPILF). Annals of Intensive Care, 6 (1), 1-15.
Petrilli, C., Pilie, P., Saint, S., Kaul, D., & Odden, A. (2015). Bigger than his bite.
Glumcher, F. S. (2004). Septic shock: new concepts of pathogenesis and treatment. Mystetstvo likuvannia – Art of Treatment, 8, 4-8 [in Russian].
Rebenok, Zh.O. (2008). Sepsis: Recognition and treatment. Infektsiyni khvoroby – Infectious Diseases, 3, 53-59 [in Ukrainian].
Rebenok, Zh.O. (2010). Modern resuscitation: opportunities for improvement. Infektsiyni khvoroby – Infectious Diseases, 2, 85-88 [in Ukrainian].
Andreychyn, M.A., Kopcha, V.S., Kramariov, S.O., Moskaliuk, V.D., Andreychyn, Yu.M., Nezhoda, I.I., … Nikolov, V.V. (2019). Atlas of infectious diseases. Third edition, corrected and supplemented. Lviv: Mahnoliya [in Ukrainian].
Dukakis, K., & Tye, L. (2007). Shock. Penguin.
Russell, J.A., Rush, B., & Boyd, J. (2018). Pathophysiology of septic shock. Critical Care Clinics, 34 (1), 43-61.
Bochorishvili, V.G. (1998). Sepsisology with the basics of infectious pathology. Tbilisi: Metsniyereba [in Russian].
Leeies, M., Gershengorn, H.B., Charbonney, E., Kumar, A., Fergusson, D., Turgeon, A.F., ... & Zarychanski, R. (2021). Intravenous immune globulin in septic shock: a Canadian national survey of critical care medicine and infectious disease specialist physicians. Canadian Journal of Anesthesia/Journal Canadien D’anesthésie, 68 (6), 782-790.
Venkatesh, B., Finfer, S., Cohen, J., Rajbhandari, D., Arabi, Y., Bellomo, R., ... & Myburgh, J. (2018). Adjunctive glucocorticoid therapy in patients with septic shock. New England Journal of Medicine, 378 (9), 797-808.
Brown, G., Frankl, D., & Phang, T. (1996). Continuous infusion of methylene blue for septic shock. Postgraduate Medical Journal, 72 (852), 612-614.
Putzu, A., Schorer, R., Lopez-Delgado, J. C., Cassina, T., & Landoni, G. (2019). Blood purification and mortality in sepsis and septic shock: a systematic review and meta-analysis of randomized trials. Anesthesiology, 131 (3), 580-593.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Infectious Diseases
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Journal Infectious Disease (Infektsiini Khvoroby) allows the author(s) to hold the copyright without registration
Users can use, reuse and build upon the material published in the journal but only for non-commercial purposes
This journal is available through Creative Commons (CC) License BY-NC "Attribution-NonCommercial" 4.0
