Author/Editor		Bedernjak-Bajuk, Nataša; Bedernjak, Jože
Title		Zaporeden potek infekcij z različnimi povzročitelji pri levkopenični pacientki
Translated title		Successive infections with different agents in a leukopenic patient
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja 8. Zbornik 9. mednarodni simpozij o urgentni medicini; 2002 jun 19-22; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2002
Volume		str. 185-8
Language		slo
Abstract		Background. A case of six successive infections from 12. 9. 1999 to 23 11. 1999 by 76-years old female is presented. The etiological agents were at the first four infections confirmed but at the last two-at the purulent meningitis and at the infection with septic shock, the blood and liquor cultures were negative. We presume, that this was caused by antibiotic therapy before her second admission in the hospital and because of intensive antibiotic therapy of purulent meningitis. The first five infections were successfully treated: enteritis caused by Clostridium difficile, sepsis caused by Salmonella enteritidis, candidiasis which appeared during the therapy of both sepsis, Campylobacter jejuni infection and purulent meningitis. The number of leukocytes and granulocytes fell in all infections under the normal values and in the recovery the elevation of them appeared. The patient died in septic shock, in comma, with acute renal failure, with multi organs failure with massive bleedings in the gut, in the urinary tract and in the brain. Conclusions. The leukopenia and granulocytopenia are well known factors for appearance of above infections and they reduce the success of therapy. The expected sum total rate of mortality for this six infections is very high. The massive intra cerebral bleedings are lethal.
Descriptors		COMMUNICABLE DISEASES LEUKOPENIA AGED