| Autor: |
Norbert Pallua, Konrad Heimann, Faris Almarzouqi, Stefan Bohr |
| Jazyk: |
angličtina |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
JPRAS Open, Vol 5, Iss C, Pp 51-55 (2015) |
| Druh dokumentu: |
article |
| ISSN: |
2352-5878 |
| DOI: |
10.1016/j.jpra.2015.06.002 |
| Popis: |
Meningococcal (Neisseria meningitides) septicemia is a feared diagnosis in febrile infants presenting with a petechial rash. Despite a good susceptibility to penicillin which usually results in an assumed bacterial clearance from blood cultures early on; extensive organ damage often mandates a prolonged period of aggressive supportive therapy. In this context, overall outcomes can dependent on specific, organ-related complications and thus should be anticipated. In the reported case, a rare sudden occurrence of early-onset compartment syndrome of all extremities highlights muscle ischemia as a possible cause of unresponsiveness to intensive care treatment despite assumed bacterial clearance. Among other conclusions, the presented case mandates a close monitoring of both clinical and laboratory features of muscle damage as a standard measure of care designed to trigger emergency surgical decision making. Most importantly, we anticipate a likely significant improvement of long-term outcomes based on the notion of meningococcal sepsis-induced compartment syndrome in infants being an under-diagnosed entity. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
