A case of severe pneumonia complicated by sepsis, endocarditis, and prolonged comatose state, with successful rehabilitation release_fs4z3udiuvguvo5bzoccimp5sy

by Надежда Прибылова, E. A. Shabanov, Sergey Pribylov, Кристина Леонидова, Vladislav Pribylov

Published in Russian Pulmonology by Scientific and Practical Reviewed Journal Pulmonology.

2024   Volume 34, Issue 1, p122-128

Abstract

Sepsis with acute organ dysfunction is an urgent problem of modern healthcare. A clinical case of a 38-year-old young woman with communityacquired severe viral-bacterial pneumonia complicated by sepsis, endocarditis, and multiple organ failure is presented. On the 68th day of her stay in the intensive care unit (ICU), the patient was brought out of comatose state and transferred to the pulmonology department for rehabilitation.<jats:bold>The purpose </jats:bold>of the work was to demonstrate the significance of this clinical case because of the urgent need to increase the effectiveness of treatment and long-term rehabilitation of patients with this severe comorbid pathology.<jats:bold>Conclusion. </jats:bold>Early diagnosis is extremely important to select effective treatment. The Quick SOFA (<jats:italic>Sepsis-related sequential Organ Failure Assessment</jats:italic>) score should be used to identify patients with suspected sepsis outside the ICU. This score is based on simple and accessible clinical characteristics that do not require laboratory analysis of homeostatic parameters. The patient was discharged in satisfactory condition to continue rehabilitation in outpatient settings.
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Date   2024-02-19
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