Septic shock

Typical clinical signs of V. vulnificus infections include fever, chills, diarrhea, nausea, vomiting, septic shock, and characteristic skin lesions [15]. These characteristic skin lesions include lower extremity cellulitis with ecchymosis and bullae. Since the organism can cross the intestinal mucosa rapidly, development of bullous skin lesions of the lower extremities can occur within the first 24 hours after onset of illness [16]. This onset if often thought of as an early manifestation of…

People become clarified about what race is when the lines that allegedly are supposed to differentiate one from another are made unclear. Boundaries between race and ethnicity are becoming blurred with one big group when in reality they are so different from one another. The report made by the Pew Research Center on the racial term “Asian American” imposes the impression that Asian Americans in the United States have the highest income, higher educational attainment/career success, are more…

to limbs and internal organs that block the flow of nutrients and oxygen. In severe conditions, sepsis results in single or multiple organ failures. The advanced level of this condition leads to major falling blood pressure that is known as the septic shock conditions which may result in multiple organ failures at the same time including kidneys, lungs,…

related to age and co morbidities than the presence of the multiresistant organism per se. So the panel unanimously decided not include HCAP in the HAP/VAP guideline update this year. Use of antibiogram: The guideline also urges that every hospital and ICU has their own antibiogram tailored to their HAP/VAP population if possible. This was based on their evaluation of some observational studies one of them was done with 229 patients at 4 different institutions which showed the variation in…

He was deceased the following day after that swim, only after the Vibrio vulnificus caused septic shock, which resulted in kidney failure and his demise. Furthermore, reported by the Centers of Disease Control and Prevention (CDC) Vibriosis brings about an approximated 80, 000 illnesses and 100 fatalities in the United States yearly, in particular…

So one day I am with my friend Kelvin and he looks at me and tells me you better start going to the gym if you wish to get some girls. When he said that I was stupefied, not because of the reasons you might think. I was baffled by those words because I had heard them before from my oldest brother who goes to the gym a lot. I honestly have never been to the gym and don’t find the point in going. But when two people tell you that you have to in order to get more girls you start to wonder if what…

Urinary tract infections (UTI) still cause significant morbidity in patients with spinal cord injury, although mortality due to urinary tract complications has decreased dramatically (1). Patients with spinal cord injurie (SCI) and complete or incomplete paraplegia are prone to frequent, recurrent or chronic UTI. The reason for the increased risk of acquiring UTI is multifactorial, including reduced sensation of classical UTI symptoms, incomplete bladder emptying, frequent catheterizations or…

unexpectedly. But if you do have symptoms they are chest pain, shock, and bleeding beneath the skin. Flue like symptoms show with the bubonic plague; fever, chills, muscle ache, and very very swollen lymph nodes (buboes). Similar to Pneumonic Plague symptoms are flu-like but with a cough, chest pain, and bloody sputum, and of course pneumonia. The buboes are lymph nodes found in the neck, armpit, and groin regions. Seizures from shock will usually happen with any form of the plague from all the…

day 8 of illness due to a misdiagnosis we speculate that this may have contributed to her complete recovery from RMSF. RMSF is a vasculitis and IVIG therapy may be warranted in patients who have late presentation and particularly in patients with shock or neurological changes during their course. It is unknown if IVIG therapy given later in the course of treatment of patients with severe RMSF vasculitis would have a similar benefit. Perhaps, as with Kawasaki disease, early treatment shows the…

The Anne Fadiman book, The Spirit Catches You and You Fall Down, is about a Hmong (an East Asian ethnic group) family, the Lees. The Lee family find it difficult to navigate through the American healthcare system that is being offered to them in Merced, California. They go from traditional Hmong health management in Laos, to a place where biomedical, science-based treatments. And when the Lees are faced with having to rely on western medicine to properly care for their daughter, Lia Lee’s severe…