title: Is this septic shock? A rare case of distributive shock.
abstract: The authors report a rare case of shock in a patient without significant clinical history, admitted to the intensive care unit for suspected septic shock. The patient was initially treated with fluid therapy without improvement. A hypothesis of systemic capillary leak syndrome was postulated following the confirmation of severe hypoalbuminemia, hypotension, and hemoconcentration--a combination of three symptoms typical of the disease. The authors discussed the differential diagnosis and also conducted a review of the diagnosis and treatment of the disease.
authors.affiliation: Serviço de Medicina, Centro Hospitalar Oeste, Hospital Caldas da Rainha, Caldas da Rainha, Portugal.
authors.forename: Luis Silva
authors.initials: LS
authors.lastname: Val-Flores
authors.affiliation: Serviço de Medicina643.4+593.6+600, Centro Hospitalar Lisboa Central, Hospital São José, Lisboa, Portugal.
authors.forename: Alberto
authors.initials: A
authors.lastname: Fior
authors.affiliation: Unidade de Urgência Médica, Centro Hospitalar Lisboa Central, Hospital São José, Lisboa, Portugal.
authors.forename: Ana
authors.initials: A
authors.lastname: Santos
authors.affiliation: Unidade de Urgência Médica, Centro Hospitalar Lisboa Central, Hospital São José, Lisboa, Portugal.
authors.forename: Luís
authors.initials: L
authors.lastname: Reis
authors.affiliation: Unidade de Urgência Médica, Centro Hospitalar Lisboa Central, Hospital São José, Lisboa, Portugal.
authors.forename: Luís
authors.initials: L
authors.lastname: Bento
mesh_terms: D019559:Capillary Leak Syndrome / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D006801:Humans; D008875:Middle Aged; D012772:Shock, Septic / Q000175:diagnosis*