„Only a Viral Infection“ – Fateful or Avertibly Dangerous Course?
DOI: 10.3238/zfa.2015.0358-0361PDF german translation / full article
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.