scholarly journals Case report of Hemophagocytic Syndrome complicated by septic shock

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
López-Cabrera Yessica ◽  
Aguilar-Silva Andres ◽  
Del Carpio Orantes Luis ◽  
Chavez Aguilar Cecilia ◽  
Cerda Mendez Carlos Ivan ◽  
...  
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Hemophagocytic Syndrome

scholarly journals Case Report: COVID-19 with cytokine storm in a 16-year-old patient: if heart failures comes think about levosimendan

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 244
Author(s):  
Veronica Rodriguez-Garcia ◽  
Jose Luis Guerrero Orriach ◽  
Daniel Ariza Villanueva ◽  
Jose Manuel Garcia Pinilla ◽  
Ainhoa Robles Mezcua ◽  
...  
Keyword(s):  
Septic Shock ◽  
Differential Diagnosis ◽  
Case Report ◽  
Hemophagocytic Syndrome ◽  
Multiorgan Failure ◽  
Species Group ◽  
Cytokine Storm ◽  
Lymphoproliferative Syndrome ◽  
Serious Disease ◽  
Group B

Introduction: Our case is unique because the differential diagnosis was a challenge. At first, the patient presented with septic shock and multi-organ failure in the context of a suspected lymphoproliferative syndrome. Once the lymphoproliferative process had been ruled out, hemophagocytic syndrome due to COVID-19 infection was suspected, so he is probably one of the few patients with such an exhaustive study that could contribute to our understanding of COVID-19. We followed therapeutic guidelines that differ from the usual, using adrenalin and levosimendan. Corticosteroids helped to modulate the cytokine storm. Case report: A 16-year-old adolescent was admitted to the intensive care unit with fever, diarrhea, multiorgan failure and septic shock. He was IgG positive for COVID-19 and IgM negative. Thoraco-abdominal computed tomography demonstrated multiple para-aortic and peri-pancreatic lymphadenopathy and acute respiratory distress syndrome. The first suspected diagnosis was a lymphoproliferative syndrome and bacterial infection. The second possibility was a hemophagocytic syndrome in a patient recovering from COVID-19. He was treated with broad spectrum antibiotics because the differential diagnosis was difficult, and we removed them when the microbiological screening was negative. During the course of the disease he presented with severe biventricular dysfunction, probably due to the cytokine storm, so we used inotropic drugs (adrenaline, levosimendan). Infection with Salmonella species group B was diagnosed later, when the patient was in the Internal Medicine ward, although he was asymptomatic. Conclusion: The severity of COVID-19 infection ranges from mild to severe, causing serious disease in some people. Although the pathophysiology is not well known, it seems that in some cases an immune storm is triggered, and it is related to more serious and prolonged disease. In our case, heart failure was important, because it could have worsened the prognosis. Fortunately, the response to levosimendan and corticosteroids was adequate and he recovered favorably until discharge.

Difficulties in the treatment of septic shock in a patient with status epilepticus – a case report

2016 ◽  
Vol 7 (1) ◽  
pp. 61-64
Author(s):  
Urszula Zielińska-Borkowska ◽  
Aneta Słabuszewska-Joźwiak
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Status Epilepticus

scholarly journals Cerebral fat embolization with paroxysmal sympathetic hyperactivity syndrome and septic shock at high altitude: a case report and literature review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Min Li ◽  
Gang Zhu ◽  
Hao Guo ◽  
Shun Nan Ge ◽  
Guo Dong Gao ◽  
...  
Keyword(s):  
Septic Shock ◽  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
High Altitude ◽  
Fat Embolism ◽  
Neurological Rehabilitation ◽  
Case Presentation ◽  
Sympathetic Hyperactivity ◽  
Paroxysmal Sympathetic Hyperactivity

AbstractBackgroundCerebral fat embolism (CFE) syndrome at high altitude was rare complicated with paroxysmal sympathetic hyperactivity (PSH) syndrome and septic shock. It is a challenge to differential diagnosis and treatment at high altitude.Case presentationThis case presents a CFE with PSH and septic shock of a 23-year-old man occurred at high altitude of 3800 m above sea level, transferred by airplane successfully and cured in the department of neurosurgery, Xi’an Tangdu Hospital.ConclusionsIt is key that CFE with PSH can be rapid diagnosed and treatment bundles of septic shock should be initiated as soon as possible. Early neurological rehabilitation played an important role for good outcome.

scholarly journals Fatal septic shock caused by Paracoccidioides brasiliensis phylogenetic species S1 in a young immunocompetent patient: a case report

2018 ◽  
Vol 51 (1) ◽  
pp. 111-114
Author(s):  
Priscila Marques de Macedo ◽  
Rodrigo Almeida-Paes ◽  
Marcos de Abreu Almeida ◽  
Rowena Alves Coelho ◽  
Marcio Amaral de Oliveira Filho ◽  
...  
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Paracoccidioides Brasiliensis ◽  
Immunocompetent Patient ◽  
Phylogenetic Species

scholarly journals Multiorgan failure due to hemophagocytic syndrome: A case report

Cases Journal ◽  
2008 ◽  
Vol 1 (1) ◽  
Author(s):  
Juan Mayordomo-Colunga ◽  
Corsino Rey ◽  
Soledad González ◽  
Andrés Concha
Keyword(s):  
Case Report ◽  
Hemophagocytic Syndrome ◽  
Multiorgan Failure
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