Early CRRT and antibiotic management in shock patient due to urosepsis with immunocompromised post renal transplantation
Journal Title: International Journal of Medical Research and Review - Year 2018, Vol 6, Issue 4
Abstract
Septic shock is a major cause of morbidity and mortality in the ICU. A 32-year-old patient was diagnosed with septic shock due to urosepsis, hospital-acquired pneumonia (HAP), and acute kidney injury (AKI) post renal transplantation. Continue Renal Replacement Therapy (CRRT) was performed to remove inflammation mediator. Broad-spectrum antibiotics, blood glucose control, adequate volume status, nutritional support, and temporary withdrawal of immunosuppressive drugs were ensured. Patient was stable on the 5th day, extubated by day 8th, and discharged from ICU 10 days later. It can be concluded that early CRRT could prevent organ failure and further complications caused by septic shock.
Authors and Affiliations
Sandhi Prabowo, Dita Aditianingsih
Keywords
Related Articles
- EP ID EP349053
- DOI 10.17511/ijmrr. 2018.i04.01.
- Views 153
- Downloads 0
Self subcutaneous injection of profenophos with delayed systemic toxicity: a case report
Suicidal poisoning by ingestion of organophosphate (OP) insecticide is a common mode of poisoning in our region. However, attempted suicide via the parenteral route has rarely been reported. We report a case of self subc...
Asymptomatic urinary tract infection with multidrug resistant pathogens in retro positive patients on ART
Introduction: Asymptomatic urinary tract infection refers to occurrence of bacteria in urine without causing symptoms. UTI is more prevalent among retro positive patients compared to people without HIV. Objectives – The...
Cardiac changes in patients with chronic liver disease: A prospective descriptive study
Background: The systemic circulation in patients with cirrhosis is hyperdynamic with an increased cardiac output and heart rate and a reduced systemic vascular resistance as the most pronounced alterations. The concomita...
Lacrimal syringing versus combined lacrimal probing and syringing for treatment of congenital nasolacrimal duct obstruction in children
Introduction: Congenital nasolacrimal duct obstruction (CNLDO) is the most common abnormality of the lacrimal system in the early years of life. Aims and Objectives: To rationalize the applicability of lacrimal syringing...
Effectiveness of social media as a medical teaching tool
Introduction: Social media has become a pervasive force in the lives of 21st century learners. Mobile learning has been increasingly used in the educational context. However, its adoption in medical education has been sl...