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Septic shock is a result of a systemic response to infection or multiple infectious causes. The precipitating infections that may lead to septic shock if severe enough include but are not limited to appendicitis, pneumonia, bacteremia, diverticulitis, pyelonephritis, meningitis, pancreatitis, necrotizing fasciitis, MRSA and mesenteric ischemia.
Delaying initiation of vasopressor therapy during septic shock is associated with increased mortality. [73] Norepinephrine is often used as a first-line treatment for hypotensive septic shock because evidence shows that there is a relative deficiency of vasopressin when shock continues for 24 to 48 hours. [74]
Septic treatment protocol and diagnostic tools have been created due to the potentially severe outcome septic shock. For example, the SIRS criteria were created as mentioned above to be extremely sensitive in suggesting which patients may have sepsis.
Septic shock, kidney failure, liver failure, cerebral edema, organ failure, death [1] Lemierre's syndrome is infectious thrombophlebitis of the internal jugular vein . [ 2 ] It most often develops as a complication of a bacterial sore throat infection in young, otherwise healthy adults.
Toxic shock syndrome (TSS) is a condition caused by bacterial toxins. [1] Symptoms may include fever , rash , skin peeling , and low blood pressure . [ 1 ] There may also be symptoms related to the specific underlying infection such as mastitis , osteomyelitis , necrotising fasciitis , or pneumonia .
Early goal-directed therapy is a more specific form of therapy used for the treatment of severe sepsis and septic shock. This approach involves adjustments of cardiac preload, afterload, and contractility to balance oxygen delivery with an increased oxygen demand before surgery. [4]
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Waterhouse–Friderichsen syndrome (WFS) is defined as adrenal gland failure due to hemorrhages in the adrenal glands, commonly caused by sepsis. Typically, the bacteria responsible for triggering the bleeding is Neisseria meningitidis. [1] The bacterial infection leads to massive bleeding into one or both adrenal glands. [2]