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NCT Neumología y Cirugía de Tórax

ISSN 2594-1526 (Electronic)
Antes Revista del Instituto Nacional de Enfermedades Respiratorias

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2015, Number 3

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Neumol Cir Torax 2015; 74 (3)

Acute respiratory failure and septic shock for infected bronchiectasis. A case report

Cervantes-González OA, Vargas-Gutiérrez DA, Hernández-Cárdenas CM, Lugo-Goytia G
Full text How to cite this article 10.35366/62376

DOI

DOI: 10.35366/62376
URL: https://dx.doi.org/10.35366/62376

Language: Spanish
References: 5
Page: 190-193
PDF size: 237.27 Kb.


Key words:

Infected bronchiectasis, septic shock.

ABSTRACT

Bronchiectasis as a cause of respiratory failure and septic shock are associated with high mortality. We report the case of a patient with an acute exacerbation due to Pseudomonas aeruginosa that produced severe respiratory failure and septic shock requiring management in the respiratory intensive care unit (RICU). The patient presented multiorgan failure and muscle weakness syndrome requiring prolonged ventilation and intensive rehabilitation. After a month in the RICU the patient was discharged, however she had to be admitted to the unit a week later by septic shock and respiratory failure. The patient died 48 hours after admission by irreversible septic shock. This case illustrates the pathophysiological changes and high short-term mortality in patients with bronchiectasis who require intensive care.


REFERENCES

  1. . Evans SA, Turner SM, Bosch BJ, Hardy CC, Woodhead MA. Lung function in bronchiectasis: the influence of Pseudomonas aeruginosa. Eur Respir J 1996;9(8):1601-1604.

  2. Alzeer AH, Al-Mobeirek AF, Al-Otair HA, Elzamzamy UA, Joherjy IA, Shaffi AS. Right and left ventricular function and pulmonary artery pressure in patients with bronchiectasis. Chest 2008;133(2):468-473.

  3. Barker AF. Bronchiectasis. N Engl J Med 2002;346(18):1383-1393.

  4. Seitz AE, Olivier KN, Adjemian J, Holland SM, Prevots R. Trends in bronchiectasis among medicare beneficiaries in the United States, 2000 to 2007. Chest 2012;142(2):432-439.

  5. Dupont M, Gacouin A, Lena H, et al. Survival of patients whit bronchiectasis after the first ICU stay for respiratory failure. Chest 2004;125(5):1815-1820.




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Neumol Cir Torax. 2015;74