Septic Shock Secondary to Mirizzi Syndrome Resolved in Two Stages

Publication date: Available online 22 November 2018Source: Cirugía Española (English Edition)Author(s): Adrián Huergo Fernández, Pedro Amor Martín, Marta Álvarez Posadilla
Source: Cirugia Espanola - Category: Surgery Source Type: research

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We report a case of a 59-year-old female patient with vegetative native mitral valve endocarditis caused by Stenotrophomonas maltophilia (SM). She had hemodialysis-dependent chronic renal failure, but no immunosuppressive disease. Echocardiography showed mobile vegetation on her native mitral valve. Right femoral artery embolectomy and mitral valve replacement were performed simultaneously. She awakened from anesthesia, but she passed away due to septic shock complications. To the best of our knowledge, this was the first case in whom native mitral valve endocarditis caused by SM was observed (despite of absence of any imm...
Source: Revista Brasileira de Cirurgia Cardiovascular - Category: Cardiovascular & Thoracic Surgery Source Type: research
Publication date: Available online 9 November 2019Source: Journal of Critical CareAuthor(s): Daniel Colon Hidalgo, Jaimini Patel, Dalila Masic, David Park, Megan A. RechAbstractPurposeMortality rate for septic shock, despite advancements in knowledge and treatment, remains high. Treatment includes administration of broad-spectrum antibiotics and stabilization of the mean arterial pressure (MAP) with intravenous fluid resuscitation. Fluid-refractory shock warrants vasopressor initiation. There is a paucity of evidence regarding the timing of vasopressor initiation and its effect on patient outcomes.Materials and methodsThis...
Source: Journal of Critical Care - Category: Gastroenterology Source Type: research
Publication date: Available online 9 November 2019Source: IDCasesAuthor(s): Lin Wei-Chen, Chang Ching, Ko Meng-Cheng, Lin Shu-MinAbstractAcute varicella zoster virus (VZV) infection is a common condition in children, which is considered a mild, self-limited disease with diffuse skin vesicular rash. However, disseminated VZV infection with multiple organ involvement can occur in immunocompromised patients with impaired T cell immunity including solid or hematopoietic stem cell transplant recipients, receiving immunosuppressive therapy, leukemia, lymphoma, and HIV infection. Prompt antiviral therapy is mandatory in those imm...
Source: IDCases - Category: Infectious Diseases Source Type: research
ConclusionsThis post-hoc analysis of a large multi-center trial in early septic shock has shown no short- or long-term survival effect for women overall as well as in the pre-menopausal age-group.
Source: Journal of Critical Care - Category: Gastroenterology Source Type: research
ConclusionsThis study does not support the use of plasma vasopressin concentrations as a therapeutic target to predict hemodynamic response to exogenous vasopressin in septic shock.
Source: Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy - Category: Drugs & Pharmacology Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Conclusion: We report a first case of systemic bacterial infection in a patient with anti-IL6 autoantibodies. Disturbed IL-6 signaling, whether iatrogenic by targeted IL-6 blockade or endogenous due to the presence of autoantibodies against IL-6, represents a risk factor for increased infectious susceptibility. Patients with severe bacterial infection without elevation of CRP should be examined for the presence of anti-IL6 autoantibodies.
Source: Frontiers in Immunology - Category: Allergy & Immunology Source Type: research
Publication date: Available online 6 November 2019Source: Respiratory Medicine Case ReportsAuthor(s): Serao Mattia, Marianna Lilli, Angela Succu, Tiziana Trequattrini, Rossana Vigliarolo, Giuseppina Gioffrè, Rosario Rivitti, Aldo Ciani, Shakib Zyada, Silvia Candia, Maria Cristina ZappaAbstractHistoplasma capsulatum is a dimorphic fungus, non-endemic in Italy but endemic in America, Asia and tropical Africa. People who generally visit an endemic area may aspirate spores and run the risk of infection. The aerosolization of micronids or hyphal fragments is considered to cause the epidemic. In most people this fungus, w...
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
Condition:   Septic Shock Interventions:   Procedure: Fluid resuscitation and furosemide administration (bolus and continuous) with central venous pressure target 8 - 10 mmHg;   Procedure: Fluid deresuscitation and furosemide administration (bolus and continuous) with central venous pressure target 0 - 4 mmHg Sponsor:   Indonesia University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Septic Shock Interventions:   Procedure: Fluid resuscitation and furosemide administration (bolus and continuous) with central venous pressure target 8 - 10 mmHg;   Procedure: Fluid deresuscitation and furosemide administration (bolus and continuous) with central venous pressure target 0 - 4 mmHg Sponsor:   Indonesia University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Septic Shock Interventions:   Procedure: Fluid resuscitation and furosemide administration (bolus and continuous) with central venous pressure target 8 - 10 mmHg;   Procedure: Fluid deresuscitation and furosemide administration (bolus and continuous) with central venous pressure target 0 - 4 mmHg Sponsor:   Indonesia University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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