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Pol. Merkur. Lek (Pol. Med. J.), 2015, XXXIX/234: 377-378 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2015, XXXIX/234: 377-378

Title: Septic shock in 23 year old female patient after surgical correction of the nasal septum effectively treated in the intensive care unit 

Authors: Greberski K, Kilanowska M, Bugajski P, Rzymski S, Jarząbek R, Kalawski R. 

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

Septic shock in 23 year old female patient after surgical correction of the nasal septum effectively treated in the intensive care unit


Greberski K1, Kilanowska M2, Bugajski P1, Rzymski S2, Jarząbek R1, Kalawski R1.

Medical University of Poznań, Poland, Multidisciplinary Municipal Hospital: 1Department of Cardiac Surgery; 2Anesthesiology and Intensive Care Unit

A female patient 23 years old was admitted to the medical intensive care unit due to sudden loss of consciousness and seizures. At the time of admition observed lack of consciousness, seizures and severe critical condition was observed. Meningitis and septic shock were diagnosed. Based on computed tomography performed on the first day – inflammation of the sinuses soft tissues was diagnosed. Suspected cause of infection was performed 6 weeks earlier surgical correction of the nasal septum. In the next stage of treatment on the seventh day after admission the functional endoscopic sinus surgery was performed. Due to massive tissue hypoperfusion the necrosis in the skin of the lower limbs occurred. Due to the lack of effectiveness antimicrobial therapy use of intravenous ceftaroline was administrated. Effective treatment allowed in day 11 to wean the patient from the ventilator. At the day 26 the patient was transferred to a hospital in the place of residence.

Key words: septic shock, inflammation of the sinuses soft tissues osteoporosis

Pol Merkur Lekarski, 2015; XXXIX (234); 377–378