Author/Editor | Muzlovič, Igor; Vilman, Jelena; Zupančič, Martina; Pikelj, Franjo | |
Title | Vročina zaradi zdravil - vloga prokalcitonina pri razlikovanju vročine zaradi sepse oziroma zdravil: primer iz klinične prakse | |
Translated title | Drug fever - the role of procalcitonin in differentiation of sepsis and drug fever: case report | |
Type | članek | |
Source | Med Razgl | |
Vol. and No. | Letnik 38, št. Suppl 1 | |
Publication year | 1999 | |
Volume | str. 13-8 | |
Language | slo | |
Abstract | The patient who was admitted to the hospital with polytrauma and haemorrhagic shock developed sepsis caused by Acinetobacter baumani shortly after splenectomie. The condition was complicated with ventilator associated pneumonia (Klebsiella pneumoniae), subclavian vein thrombosis and drug fever. Differential diagnosis between sepsis and drug fever was made by determination of procalcitonin. Additional therapy with corticosteroids was successful. | |
Summary | Bolnica je bila sprejeta v bolnišnico zaradi večkratnih poškodb in šoka zaradi izgube krvi. Po odstranitvi vranice je prišlo do sepse, povzročene z Acinetobacter baumani. Stanje se je poslabšalo zaradi pljučnice po umetnem prepihavanju (Klebsiella pneumoniae), tromboze vene subklavije in vročine zaradi zdravil. Določaje vrednosti prokalcitonina je bilo pri razločevanju sepse od vročine zaradi zdravil odločilno. Zdravljenje s kortikosteroidi je bilo učinkovito. | |
Descriptors | FEVER SEPSIS CALCITONIN C-REACTIVE PROTEIN FEVER OF UNKNOWN ORIGIN |