Septicemia secondary to ileus in trauma patients: a human model for bacterial translocation.
Paralytic ileus is a common problem in trauma patients. We present two cases of ileus leading to septicemia. Both patients developed sudden septicemia on hospital day six and underwent urgent exploratory laparotomies, and both were found to only have paralytic ileus without evidence of bowel injury or obstruction. We attribute the cause of septicemia to bacterial translocation secondary to ileus.
Hanna
Niveen
N
Jersey Shore Regional Trauma Center, Jersey Shore University Medical Center, Neptune, NJ 07754-0394, USA. nhanna@meridianhealth.com
Bialowas
Christie
C
Fernandez
Carolyn
C
D000063:Accidents, Traffic; D018988:Bacterial Translocation; D006801:Humans; D045823:Ileus / Q000150:complications*; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000209:etiology*; D014947:Wounds and Injuries / Q000150:complications*