Multiple cerebral hemorrhages in sepsis-disseminated intravascular coagulation versus septic embolism: An image report

CONCLUSION: In patients with a known ongoing infectious process with hemodynamic stability who develop altered mental status in the setting of a normal coagulation profile, D-dimer, positive blood cultures, and absent signs of multiorgan failure, a diagnosis of septic emboli should be entertained. Although CT can reveal macrobleeds, MRI is more sensitive in confirming cerebral microbleeds. Thus, patients in sepsis with unexplained altered sensorium should undergo an MRI of the brain to rule out septic emboli and microbleeds.PMID:34084613 | PMC:PMC8168679 | DOI:10.25259/SNI_810_2020

Source: Surgical Neurology International - June 4, 2021 Category: Neurosurgery Authors: Omar Akel Bharath Raju Sumatha Channapatna Suresh Fareed Jumah Gaurav Gupta Anil Nanda Source Type: research