Chronic osteomyelitis as evidence of a source of uncontrolled sepsis. A case report

Sepsis and septic shock are major health problems that affect millions of people worldwide and have a high lethality. The infection source control is one of the fundamental aspects to achieve success in treatment. Once sepsis is suspected as a syndrome, all tests should be performed to identify the...

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Main Authors: Ariel Efrén Uriarte Méndez, Jorge L. Capote Padrón, José Julio Requeiro Molina, Lioby Kauteks Pardiñas de León
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2022-07-01
Series:Medisur
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Online Access:http://medisur.sld.cu/index.php/medisur/article/view/5455
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author Ariel Efrén Uriarte Méndez
Jorge L. Capote Padrón
José Julio Requeiro Molina
Lioby Kauteks Pardiñas de León
author_facet Ariel Efrén Uriarte Méndez
Jorge L. Capote Padrón
José Julio Requeiro Molina
Lioby Kauteks Pardiñas de León
author_sort Ariel Efrén Uriarte Méndez
collection DOAJ
description Sepsis and septic shock are major health problems that affect millions of people worldwide and have a high lethality. The infection source control is one of the fundamental aspects to achieve success in treatment. Once sepsis is suspected as a syndrome, all tests should be performed to identify the primary site of origin and the necessary specialist teams should be used. The objective of this work is to transmit the experiences derived from the care of an infant whose diagnosis of septic shock was made retrospectively when chronic osteomyelitis of the distal end of the right femur was discovered as a primary source of undiagnosed infection. The patient was admitted to the pediatric intensive care unit with multi-organ dysfunction. The diagnosis initially focused on acute viral myocarditis, but four weeks later osteomyelitis was diagnosed with chronicity criteria. The retrospective analysis ruled out the previous diagnosis and suggested acute osteomyelitis as the cause for septic shock, a clinical picture that began in a hidden way, but which almost compromised the patient's life. In the presence of a suspicious case of sepsis, the presence of a source of infection should be exhaustively searched. Given its frequency, acute hematogenous osteomyelitis should be taken into account.
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institution Kabale University
issn 1727-897X
language Spanish
publishDate 2022-07-01
publisher Centro Provincial de Información de Ciencias Médicas. Cienfuegos
record_format Article
series Medisur
spelling doaj-art-916271f273c845fe8cd6bb7b0c960a002025-01-30T21:28:59ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2022-07-012047607662161Chronic osteomyelitis as evidence of a source of uncontrolled sepsis. A case reportAriel Efrén Uriarte Méndez0Jorge L. Capote Padrón1José Julio Requeiro Molina2Lioby Kauteks Pardiñas de León3Hospital Pediátrico Universitario Paquito González Cueto. Cienfuegos, Cuba.Hospital Pediátrico Universitario Paquito González Cueto. Cienfuegos, Cuba.Hospital Pediátrico Universitario Paquito González Cueto. Cienfuegos, Cuba.Hospital Pediátrico Universitario Paquito González Cueto. Cienfuegos, Cuba.Sepsis and septic shock are major health problems that affect millions of people worldwide and have a high lethality. The infection source control is one of the fundamental aspects to achieve success in treatment. Once sepsis is suspected as a syndrome, all tests should be performed to identify the primary site of origin and the necessary specialist teams should be used. The objective of this work is to transmit the experiences derived from the care of an infant whose diagnosis of septic shock was made retrospectively when chronic osteomyelitis of the distal end of the right femur was discovered as a primary source of undiagnosed infection. The patient was admitted to the pediatric intensive care unit with multi-organ dysfunction. The diagnosis initially focused on acute viral myocarditis, but four weeks later osteomyelitis was diagnosed with chronicity criteria. The retrospective analysis ruled out the previous diagnosis and suggested acute osteomyelitis as the cause for septic shock, a clinical picture that began in a hidden way, but which almost compromised the patient's life. In the presence of a suspicious case of sepsis, the presence of a source of infection should be exhaustively searched. Given its frequency, acute hematogenous osteomyelitis should be taken into account.http://medisur.sld.cu/index.php/medisur/article/view/5455osteomielitissepsisinformes de casos
spellingShingle Ariel Efrén Uriarte Méndez
Jorge L. Capote Padrón
José Julio Requeiro Molina
Lioby Kauteks Pardiñas de León
Chronic osteomyelitis as evidence of a source of uncontrolled sepsis. A case report
Medisur
osteomielitis
sepsis
informes de casos
title Chronic osteomyelitis as evidence of a source of uncontrolled sepsis. A case report
title_full Chronic osteomyelitis as evidence of a source of uncontrolled sepsis. A case report
title_fullStr Chronic osteomyelitis as evidence of a source of uncontrolled sepsis. A case report
title_full_unstemmed Chronic osteomyelitis as evidence of a source of uncontrolled sepsis. A case report
title_short Chronic osteomyelitis as evidence of a source of uncontrolled sepsis. A case report
title_sort chronic osteomyelitis as evidence of a source of uncontrolled sepsis a case report
topic osteomielitis
sepsis
informes de casos
url http://medisur.sld.cu/index.php/medisur/article/view/5455
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