A Young Man With Severe and Disabling Complications of Septic Shock
| Autor: | J. J. Quak, J. P. J. Burgmans, R. S. van der Ploeg, L. E. M. Haas, M. Otten |
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| Přispěvatelé: | Otolaryngology / Head & Neck Surgery, Other Research |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Inotrope
Adult Male medicine.medical_specialty Septic shock Hearing loss business.industry Sedation General Medicine Ischemic optic neuropathy Deafness Critical Care Nursing medicine.disease Shock Septic Surgery Inguinal hernia Edema medicine Humans Optic Neuropathy Ischemic medicine.symptom Fasciitis business Follow-Up Studies |
| Zdroj: | Haas, L E M, van der Ploeg, R S, Quak, J J, Burgmans, J P J & Otten, M 2015, ' A Young Man With Severe and Disabling Complications of Septic Shock ', American Journal of Critical Care, vol. 24, no. 5, pp. 450-452 . https://doi.org/10.4037/ajcc2015746 American Journal of Critical Care, 24(5), 450-452. American Association of Critical Care Nurses |
| ISSN: | 1062-3264 |
| DOI: | 10.4037/ajcc2015746 |
| Popis: | A young man had severe septic shock with multiorgan failure due to necrotizing fasciitis caused by group A streptococcus after endoscopic repair of a preperitoneal inguinal hernia. He was treated with surgical exploration and antibiotics and resuscitated with fluids, vasopressors, and inotropic agents. He survived this critical illness, but when he woke up from sedation, his vision was lost in both eyes. Ophthalmological evaluation revealed minimal peripapillary retinal hemorrhages without signs of papillary edema. Visually evoked potentials were negative. Magnetic resonance imaging did not show a cause of the visual damage. The patient had bilateral ischemic optic neuropathy diagnosed. Two weeks later, unilateral sudden deafness also developed. The acquired blindness and hearing loss were unchanged after more than 1 year and seem to be permanent, severely disabling this young survivor of septic shock. |
| Databáze: | OpenAIRE |
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