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Obraz kardiogenního šoku jako primomanifestace sepse s origem v kolenním kloubu
[Clinical picture of cardiogenic shock as primary manifestation of sepsis originating in the knee joint]
Eliška Kufová, Radovan Stančík, Miroslav Homza, Christian Kufa
Language Czech Country Czech Republic
Document type Case Reports
- Keywords
- hypoperfuze tkání, deprese myokardiální funkce,
- MeSH
- Alcoholism diagnosis complications MeSH
- Osteoarthritis, Knee complications microbiology MeSH
- Diagnosis, Differential MeSH
- Arthritis, Infectious drug therapy complications microbiology MeSH
- Shock, Cardiogenic diagnosis etiology MeSH
- Humans MeSH
- Aged MeSH
- Shock, Septic diagnosis MeSH
- Heart Failure diagnosis etiology drug therapy MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged MeSH
- Publication type
- Case Reports MeSH
This is a case report of a male with infection in the right knee joint progressing to sepsis. However, the patient initially complained mainly of dysarthria and breathlessness. He rapidly developed respiratory insufficiency with the loss of consciousness. Echocardiography revealed severe dysfunction of the left ventricle, suggesting acute failure of the chronically failing heart. The patient was referred to a coronary care unit. Only the further course of the disease, particularly progression of the local finding on the right leg and development of fever, together with significantly elevated inflammatory parameters in laboratory findings, resulted in the diagnosis of sepsis which also included myocardial dysfunction and brain hypoperfusion manifested as dysarthria.
Clinical picture of cardiogenic shock as primary manifestation of sepsis originating in the knee joint
Literatura
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- $a This is a case report of a male with infection in the right knee joint progressing to sepsis. However, the patient initially complained mainly of dysarthria and breathlessness. He rapidly developed respiratory insufficiency with the loss of consciousness. Echocardiography revealed severe dysfunction of the left ventricle, suggesting acute failure of the chronically failing heart. The patient was referred to a coronary care unit. Only the further course of the disease, particularly progression of the local finding on the right leg and development of fever, together with significantly elevated inflammatory parameters in laboratory findings, resulted in the diagnosis of sepsis which also included myocardial dysfunction and brain hypoperfusion manifested as dysarthria.
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