Septic Shock Classification and Medical Tests
Septic shock: Classification
Fulminant meningococcal septicemia due to extreme growth of meningococci in blood. These bacteria release endotoxin that causes the appearance of an elevated temperature, vomiting, fall in blood pressure, which evolves towards a collapse, that is to say, an impossibility for the principal organs to ensure their function (septic shock). In addition, there are cyanosis (blue-violet skin and integument) and cutaneous purpura. Purpura, in some patients is also present in the viscera (the disease is then called purpura meningococcal bracket. Patient has at this point prostration very important. Often associated with this disease, meningitis is the rule.
Toxic shock syndrome (TSS Toxic Shock Syndrome) is a set of symptoms caused by an exotoxin (TSST-1) occurring in children and women in the menstrual period, women who use tampons. The action of the buffer is to promote the growth of staphylococci.
This type of condition is also found in respiratory Staphylococcus aureus complicating influenza.
Table of septic shock, but it is followed within 48 hours of an eruption resembling scarlet fever and erythematous form of generalizing to the entire body. This eruption is followed by desquamation (loss of small scales of skin) occurring at the palm of the hand and soles of the feet at the end of three days a week.
Blood culture, that is to say, the search is negative germs and isolation of Staphylococcus aureus is from the initial focus manager (when it is possible to find it). The evolution of this infection is to the patient's death in 10-15% of cases due to ventricular fibrillation (inability of the heart to provide effective contractions to eject blood through the circulatory system) that leads to a refractory hypoxemia (inadequate tissue oxygenation curable or incurable difficult).
This disease should not be confused with Kawasaki syndrome.
Septic shock: Medical tests
- Laboratory tests can reveal metabolic acidosis, disseminated intravascular coagulation, a decrease as the number of platelets (thrombocytopenia), signs of renal failure occur gradually due to acute tubular necrosis.
- Determination of white blood cell count with seeking immature
- Determination of platelets (decrease frequent).
- Determination of azotemia.
- Determination of creatinine.
- Cortisol is elevated in septic shock.
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