Septic Shock
What is Septic Shock?
Septic shock is a serious condition that occurs when an overwhelming bacterial infection leads to life-threatening low blood pressure.
What are the causes?
Septic shock occurs most often in the very old and the very young. It also occurs in people who have other illnesses. Any type of bacteria can cause septic shock. Fungi and (rarely) viruses may also cause the condition. Toxins released by the bacteria or fungi may cause tissue damage, and may lead to low blood pressure and poor organ function.The body also produces a strong inflammatory response to the toxins. This inflammation may contribute to organ damage.
What are the symptoms?
Septic shock can affect any part of the body, including the heart, brain, kidneys, liver and intestines. Symptoms may include:Cool, pale extremitiesHigh or very low temperature, chillsLightheadednessLow blood pressure, especially when standingLow urine outputPalpitationsRapid heart rateRestlessness, agitation, lethargy, or confusionShortness of breath
What are the riskfactors?
Risk factors for septic shock include:DiabetesDiseases of the genitourinary system, biliary system,or intestinal systemDiseases that weaken the immune system such as AIDSIndwelling catheters (those that remain in place for extended periods, especially intravenous lines and urinary catheters)Leukemia and other cancers or chemotherapyLong-term use of antibioticsLymphomaRecent surgery or medical proceduresRecent use of steroid medicines
How is the diagnosis made?
Blood tests may be done to check for infection, low blood oxygen level, disturbances in the body's acid-base balance, or poor organ function or organ failure. A chest x-ray may show pneumonia. Lactic acid levels are helpful in determining the severity in some situations.
What is the treatment?
Septic shock is a medical emergency. Patients are usually admitted to the intensive care unit of the hospital.Treatment may include:Breathing machine (mechanical ventilation)Drugs to treat low blood pressure, infection, or blood clottingFluids given directly into a vein (intravenously)OxygenSurgeryThere are new drugs that act against the extreme inflammatory response seen in septic shock. These may help limit organ damage.Hemodynamic monitoring - the evaluation of the pressures in the heart and lungs - may be required.
What is the prognosis?
Septic shock has a high death rate. The death rate depends on the cause of the infection, how many organs have failed, and how quickly and aggressively medical therapy is started.
What are the prevention?
Prompt treatment of bacterial infections is helpful. However, many cases of septic shock cannot be prevented.
What are the complications?
Septic shock can lead to respiratory failure, cardiac failure, or any other organ failure.