Metrics details. Pseudomonas aeruginosa is an unusual pathogen in community-acquired pneumonia, especially in previously healthy adults, but often indicates poor prognosis. We report a previously healthy patient who developed severe community-acquired pneumonia CAP caused by P. He deteriorated to septic shock and multiple organ dysfunction syndrome MODS quickly, complicated by secondary hematogenous central nervous system CNS infection. After 1 month of organ support and antipseudomonal therapy, he had significant symptomatic improvement and was discharged from hospital.
Case Study: A Systematic Approach to Early Recognition and Treatment of Sepsis
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RP is a 68 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough. He was seen by a staff physician at the long-term care facility and was diagnosed with a COPD exacerbation. He was prescribed azithromycin, but has not improved after 3 days of antibiotics. Review of systems reveals fever, chills, cough sometimes productive and dyspnea worse than baseline. Upon being seen by the internist on hospital day one, he had urinary antigen tests performed for pneumococcus and legionella. When the test results returned with a positive pneumococcal antigen test, he was de-escalated to ceftriaxone and completed a 7 day course of antibiotics.
Sepsis Case Study
The dangers associated with delayed diagnosis and treatment of sepsis in children has once again been vividly highlighted by the distressing case of a young girl in a Portsmouth family. In November , the family endured a horrific three-day vigil during which the condition of their month old daughter, Lilly Reynolds, deteriorated to a critical state as the debilitating effects of sepsis took hold. She had not eaten for 48 hours, her urine output was reduced. It is hard to understand why the Trust discharged a very sick baby, clearly in need of the sepsis protocol.
Follow Us On Facebook. Sepsis is a serious medical condition that affects 30 million people annually, with a mortality rate of approximately 16 percent worldwide Reinhart, The severity of this disease process is not well known to the public or health care workers. Often, health care providers find sepsis difficult to diagnose with certainty. Deaths related to sepsis can be prevented with accurate assessments and timely treatment.