One case of atypical septic shock with acute pulmonary edema in a patient with extensive burn
10.3760/cma.j.cn501120-20190828-00365
- VernacularTitle:大面积烧伤患者非典型脓毒症休克合并急性肺水肿一例
- Author:
Chenqi TANG
1
;
Long XU
;
Xiaobin LIU
;
Dayuan XU
;
Guosheng WU
;
Tianjing DU
;
Dasheng CHENG
;
Shihui ZHU
;
Shichu XIAO
Author Information
1. 海军军医大学第一附属医院烧创伤中心，上海 200433
- Keywords:
Burns;
Sepsis;
Shock, septic;
Pulmonary edema;
Negative-pressure wound therapy
- From:
Chinese Journal of Burns
2020;36(11):1075-1077
- CountryChina
- Language:Chinese
-
Abstract:
A 25-year-old man with extensive burn due to industrial dust explosion was admitted to the First Affiliated Hospital of Naval Medical University on 16th October, 2018. Four days after the first skin grafting and vacuum sealing drainage surgery, the patient developed signs of uncontrolled severe inflammation and shock. However, several atypical manifestations interfered the diagnosis of septic shock. After giving emergency treatment including fluid resuscitation, broad-spectrum antibiotics, and administration of vasopressor agents, the patient′s condition was alleviated, but quickly relapsed and deteriorated, with acute pulmonary edema appeared in the evening of the same day. Finally, the condition was reversed by completely removing the negative pressure devices on upper limbs and thorough dressing change. This case suggests that the diagnosis and treatment of infection in patients with extensive burn need comprehensive analysis. Timely intervention of the wound is the key to control the exacerbation of sepsis. In addition, the possibility of pulmonary edema in patients with sepsis should be on high alert.
