„Only a Viral Infection“ – Fateful or Avertibly Dangerous Course?

DOI: 10.3238/zfa.2015.0358-0361

german translation / full article

Michael M. Kochen, Matthias Stratmann, Stefan Lodders

Keywords: Sepsis SIRS Viral Infection Family Practice

Background: There seems to be no published evidence for potential correlations between ambulatory respiratory infections with no fever and an imminent development of sepsis.

Case reports: We describe two patients (21-year old female, 68-year old male) who present in family practice with symptoms of a viral, respiratory infection, denying fever. After 24 hours and 17 days respectively both patients died from severe sepsis in an intensive-care unit.

Conclusions: We could not find published documentation about the relationship between or frequency of the clinical presentation and the later course of events. A reliable prediction test for sepsis does not exist. Deficits in understanding, but also lacking diagnostic and therapeutic options necessitate new approaches for sepsis research.

(State: 05.10.2015)

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