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CASE REPORT A 72 year old man with uncontrolled diabetes and hypertension arrives at the emergency room due to shortness of breath. He’s diagnosed with community acquired lobar pneumonia and admitted for observation and empiric antibiotic therapy. Three days later the patient is found agitated, confused and unable to recognize his son. The shortness of breath worsens later in the morning culminating in intubation and mechanical ventilation. Following admission to the intensive care unit (ICU) he develops normocytic anemia, acute renal failure requiring dialysis, and elevation of liver enzymes. Ten days later his condition starts improving. Finally, 32 days after admission the patient is ready to be discharged. He has survived severe sepsis, and does not require further renal substitution, but is persistently weak, short of breath, and confused. What is new in our understanding of sepsis survival? What is the short and long-term prognosis? What can the medical team do to reduce mortality and improve quality of life following sepsis?

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2014-12-19   |   708 visitas   |   Evalua este artículo 0 valoraciones

Vol. 66 Núm.5. Septiembre-Octubre 2014 Pags. 439-449 Rev Invest Clin 2014; 66(5)