A case of extensive burn without sepsis showing high level of plasma presepsin (sCD14-ST)
| Autor: | Yu Onodera, Masahiro Hayashi, Emiko Goto, Kaneyuki Kawamae, Hiroto Suzuki, Asumi Sugiura, Masaki Nakane, Yoriko Yaguchi, Tamio Suzuki, Ken Okamura |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
medicine.medical_treatment Cefazolin law.invention Sepsis 03 medical and health sciences 0302 clinical medicine law lcsh:Dermatology Medicine 030212 general & internal medicine biology business.industry C-reactive protein lcsh:Medical emergencies. Critical care. Intensive care. First aid General Medicine lcsh:RC86-88.9 lcsh:RL1-803 medicine.disease Intensive care unit Systemic inflammatory response syndrome 030104 developmental biology Anesthesia biology.protein Skin grafting Biomarker (medicine) business Total body surface area medicine.drug |
| Zdroj: | Burns Open, Vol 1, Iss 1, Pp 33-36 (2017) |
| ISSN: | 2468-9122 |
| Popis: | Presepsin (soluble CD14 subtype; sCD14-ST) is a biomarker that detects the existence and severity of sepsis. Previous studies have demonstrated that plasma presepsin levels can consistently distinguish systemic inflammatory response syndrome due to non-sepsis conditions from sepsis. We present a case report of a patient with extensive burns who showed high presepsin levels without sepsis. The 33-year-old man was transferred to the emergency room owing to burns on 33% of his total body surface area and inhalation injuries. He was intubated immediately and admitted to the intensive care unit. The patient’s plasma presepsin level increased to 1984 ρg/mL on day 6. However, repeated blood, wound, and urine cultures did not isolate any pathogenic bacteria. Chest radiographs and enhanced computed tomography did not detect any infectious foci. The patient’s Sequential Organ Failure Assessment score also did not meet the criteria for sepsis. After the patient’s condition stabilized and he was extubated, his presepsin level decreased to 354 ρg/mL on day 13. Debridement and split-thickness mesh skin grafting were performed on day 14. The acceptance of the skin graft was excellent and the patient’s condition improved after the surgery; he was discharged on day 59. Although presepsin has been reported to be a reliable biomarker, certain pathophysiological conditions may affect its levels, as indicated by this case. The reason for our patient’s high presepsin level is unclear; however, the case serves as a reminder that presepsin levels may increase in patients without sepsis. Keywords: Extensive burn, Presepsin, Non-sepsis, C-reactive protein |
| Databáze: | OpenAIRE |
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