Pediatric Enigma in ICU – Late Treatment of Severe Sepsis: A Case Report
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2012, Vol 5, Issue 2
Abstract
A surgery of ritual circumcision in healthy young boys is usually a safe procedure. However, an outbreak of severe sepsis a few hours after surgery in patients who underwent this minor procedure is described and analyzed in this report. We describe the clinical course and discuss the causes of the sepsis and septic shock. Contamination of propofol, the intravenous anesthetic agent, was suspected as a probable cause. However, the most important question that had appeared from this case is the prognostic outcome regarding the delayed treatment of severe sepsis.
Authors and Affiliations
Gordana Taleska| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Zorka Nikolova| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Vesna Durnev| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Maja Mojsova-Mijovska| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Elvis Aleksovski| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Ljupco Donev| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Trajanka Trajkovska| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Marija Soljakova| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Gordana Petrushevska| Institute of Pathology, Faculty of Medicine, Skopje, Republic of Macedonia, Aleksandra Gavrilovska| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Vanja Dgambazovska-Trajkovska| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Aleksandar Dimov| Clinic of Anesthesiology, Reanimation and Intensive Care, Faculty of Medicine, Skopje, Republic of Macedonia, Vesna Cvetanovska| Clinic of Pediatric Surgery, Faculty of Medicine, Skopje, Republic of Macedonia, Vladimir Cadikovski| Clinic of Pediatric Surgery, Faculty of Medicine, Skopje, Republic of Macedonia, Risto Simeonov| Clinic of Pediatric Surgery, Faculty of Medicine, Skopje, Republic of Macedonia
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