González AJC, Mengana MMD, Vázquez BYE, Dorta RE, Algas HLA

Language: Spanish
References: 8
Page: 638-644
PDF size: 107.76 Kb.

ABSTRACT

The case report of a 33 years adult woman is described with a history of bronchial asthma who was admitted in "Carlos Manuel de Céspedes" University General Hospital in Bayamo (Granma), due to septic shock caused by a bacterial bronchopneumonia, besides organic dysfunction, sustained metabolic acidosis which required high doses of vasoactive drugs. Lesions disseminated in the skin were also present, mainly in the distal areas of hands and feet, violet in colour and ischemic necrosis toward the fleshy part of the fingers. In the blood cultures Staphylococcus aureus was isolated, and the treatment consisted on hemodynamic support, wide spectrum antimicrobials, corticosteroids and cures in the cutaneous lesions that included necrectomy.

REFERENCES

1. Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013; 41(2): 580-637.

2. Tomasini C. Septic vasculitis and vasculopathy in some infectious emergencies: the perspective of the histopathologist. G Ital Dermatol Venereol. 2015; 150(1): 73-85.

3. Delgado Jiménez Y, Fraga J, Requena C, Requena L, Aragües M, Fernandez Herrera J, et al. Acute bacterial septic vasculopathy. Int J Dermatol. 2013; 59(2): 1071-80.

4. Blarer J, Pfister D, Jandali AR, Gutzeit A, John H, Horstmann M. Acral necrosis as a complication of urosepsis. Urologe A. 2014; 53(6): 871-74.

5. Silbernagel G, Schmalzing M, Riessen R, Koetter I. Sepsis with acral necrosis in a patient with Sharp syndrome - case 8/2010]. Dtsch Med Wochenschr. 2010; 135(36): 1741.

6. Cheng YY, Lin SJ, Chang CH, Lin CJ, Tsai CC, Su YC. Cool extremities, a diagnostic sign recorded in Shang Han Lun, still good prognosis index for septic patients in today's medical intensive care unit. Chin J Integr Med. 2014 Sep.

7. Tassi V, Tardio C, Canals A, Brance ML, Grossi G, Jacobo L, et al. Fiebre y exantema. Clínica UNR. 2007 [citado 22 Feb 2015].

8. Andrés AM, López Gutiérrez JC, Rivas S, De la Varga A, Ros Z, Díaz M, et al. Tratamiento quirúrgico de las complicaciones cutáneas y musculoesqueléticas de los pacientes con sepsis. Cir Pediatr. 2006 [citado 22 Feb 2015]; 19.