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[Sepsis masquerading as delirium]. / Listeriensepsis mit Leitsymptom Delir.
Seifert, A; Hartog, C S; Zweigner, J; Schummer, W; Reinhart, K.
Afiliación
  • Seifert A; Klinik für Anästhesie, Intensivmedizin und Schmerztherapie, Paracelsus-Klinik Zwickau, Zwickau, Deutschland.
  • Hartog CS; Klinik für Anästhesie und Intensivtherapie, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen, Universitätsklinikum Jena, Paul-Schneider-Str. 2, 07747, Jena, Deutschland.
  • Zweigner J; Klinik Bavaria Kreischa, Kreischa, Deutschland.
  • Schummer W; Zentrale Krankenhaushygiene, Universitätsklinikum Köln, Köln, Deutschland.
  • Reinhart K; Klinik Bavaria Kreischa, Kreischa, Deutschland.
Anaesthesist ; 66(11): 858-861, 2017 Nov.
Article en De | MEDLINE | ID: mdl-28887627
A previously healthy 60-year-old patient presented to the emergency department with severe headache, altered personality and fever. He was treated for bacterial meningitis with delirium of unknown cause but presumed to be due to alcohol withdrawal. Despite receiving the antibiotic therapy regimen recommended for bacterial meningitis the patient's condition rapidly deteriorated with profound delirium and tachypnea. The intensivist who was consulted immediately suspected sepsis-associated organ failure and admitted the patient to the intensive care unit (ICU). The blood culture was positive for Listeria. After 10 days the patient could be discharged from the ICU and ultimately recovered completely. In patients presenting with unexplained delirium or altered personality the suspicion of septic encephalopathy should always be considered. They should be admitted to the ICU and sepsis treatment should be initiated without delay.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sepsis / Delirio Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Humans / Male / Middle aged Idioma: De Revista: Anaesthesist Año: 2017 Tipo del documento: Article Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sepsis / Delirio Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Humans / Male / Middle aged Idioma: De Revista: Anaesthesist Año: 2017 Tipo del documento: Article Pais de publicación: Alemania