Impact of CT in Patients with Sepsis of unknown Origin
| Autor: | P. Henseke, R.-D. Müller, Jörg Barkhausen, E. Dominguez-Fernandez, F. Stöblen |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male Radiography Abdominal medicine.medical_specialty Abdominal Abscess Adolescent Perforation (oil well) Lung abscess Diagnosis Differential Gangrene Sepsis Intensive care Intestine Small medicine Humans Radiology Nuclear Medicine and imaging Lung Abscess Abscess Empyema Pleural Aged Radiological and Ultrasound Technology business.industry Pleural empyema General Medicine Middle Aged medicine.disease Mediastinitis Empyema Surgery Intensive Care Units Intestinal Perforation Female Radiography Thoracic Tomography X-Ray Computed business Colitis Ischemic |
| Zdroj: | Acta Radiologica. 40:552-555 |
| ISSN: | 1600-0455 0284-1851 |
| DOI: | 10.3109/02841859909175583 |
| Popis: | Purpose: To evaluate the diagnostic relevance of CT in patients with sepsis of unknown origin. Material and Methods: Sixty-three consecutive intensive care patients with suspicion of an abscess and negative or inconclusive previous radiological examinations were included. CT was performed using the helical technique. A total of 45 abdominal and 38 chest examinations were evaluated. Results: 5/38 examinations of the chest revealed the source of sepsis (pleural empyema 2, lung abscess 1, mediastinitis 1, retrosternal abscess 1). 7/45 abdominal CT examinations showed the source of sepsis (intraabdominal abscess 2, hepatic abscess 3, intestinal perforation 1, gangrenous colitis 1). Conclusion: CT is useful for the evaluation of patients with fever or sepsis without a known source. Due to the detection of a septic focus by CT, 19% of the patients in our study could be immediately referred to causal therapy as percutaneous drainage or surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|