Repeated Sepsis in an 83-Year-Old Man With Cancer With Long-Lasting Invasive Treatments
Abstract
Sepsis is a life-threatening condition that arises when the body's response to infection damages its own tissues and organs. Sepsis is caused by an inflammatory immune response triggered by an infection. Its risk factors include aging, weak immune system, major trauma, or burns. Treatment of sepsis is often based on fluid replacement and antibiotic therapy. In this study, an 83-year-old man is reported with two times of diagnosis of sepsis during three years. The first sepsis was due to an infection of the colostomy and the second one followed an infection at tracheostomy site. It seems that the disease and the underlying condition of the patient contribute to the occurrence of sepsis. The patient each time was discharged from the hospital after successful response to the treatment.
[2] Crilly J, Robinson J, Sharman V, Cross J, Romero B, Teasdale T, et al. Recognition, response and outcomes of sepsis: A dual site retrospective observational study. International Emergency Nursing. 2019; 46:3. [DOI:10.1016/j.ienj.2019.06.005]
[3] Zhou J, Bai Y, Wang X, Yang J, Fu P, Cai D, et al. A simple risk score for prediction of sepsis associated-acute kidney injury in critically ill patients. Journal of Nephrology. 2019; 2019:1-10. [DOI:10.1007/ s40620-019-00625-y]
[4] Komori A, Abe T, Kushimoto S, Ogura H, Shiraishi A, Deshpande GA, et al. Clinical features of patients with candidemia in sepsis. Journal of General and Family Medicine. 2019; 20(4):161-3. [DOI:10.1002/ jgf2.250] [PMID] [PMCID]
[5] Rumbus Z, Garami A. Fever, hypothermia, and mortality in sepsis. Temperature. 2019; 6(2):101-3. [DOI:10.1080/23328940.2018.151 6100] [PMID] [PMCID]
[6] Alcamo AM, Pang D, Bashir DA, Carcillo JA, Nguyen TC, Aneja RK. Role of damage-associated molecular patterns and uncontrolled inflammation in pediatric sepsis-induced multiple organ dysfunction syndrome. Journal of Pediatric Intensive Care. 2019; 8(1):25-31. [DOI:10.1055/s-0038-1675639] [PMID]
[7] Peng X, Ding Y, Wihl D, Gottesman O, Komorowski M, Lehman LH, et al. Improving sepsis treatment strategies by combining deep and kernel-based reinforcement learning. AMIA Annual Symposium Proceedings Archive. 2018; 2018:887-96. [PMID] [PMCID]
[8] Obonyo NG, Schlapbach LJ, Fraser JF. Sepsis: Changing definitions, unchanging treatment. Frontiers in Pediatrics. 2018; 6:425. [DOI:10.3389/fped.2018.00425] [PMID] [PMCID]
[9] Wu J, Ren J, Liu Q, Hu Q, Wu X, Wang G, et al. Effects of changes in the levels of damage-associated molecular patterns following continuous veno-venous hemofiltration therapy on outcomes in acute kidney injury patients with sepsis. Frontiers in Immunology. 2019; 9:3052. [DOI:10.3389/fimmu.2018.03052] [PMID] [PMCID]
[10] Cho AY, Yoon HJ, Lee KY, Sun IO. Clinical characteristics of sepsisinduced acute kidney injury in patients undergoing continuous renal replacement therapy. Renal Failure. 2017; 40(1):403-9. [DOI:10 .1080/0886022X.2018.1489288] [PMID] [PMCID]
[11] Misheva B, Hajjar R, Mercier F, Schwenter F, Sebajang H. Conservative management of pelvic sepsis with severe shock and multiple organ dysfunction syndrome after rubber-band ligation of internal haemorrhoids: Surgery is not the only option. Journal of Surgical Case Reports. 2018; 2018(8):rjy199. [DOI:10.1093/jscr/rjy199]
Files | ||
Issue | Vol 4 No 4 (2019): Autumn | |
Section | Case Report(s) | |
DOI | https://doi.org/10.18502/crcp.v4i4.2390 | |
Keywords | ||
Sepsis Chronic diseases colostomy Tracheostomy Cancer |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |