title: [Septic shock in 23 year old female patient after surgical correction of the nasal septum effectively treated in the intensive care unit].
abstract: A female patient 23 years old was admitted to the medical intensive care unit due to sudden loss of consciousness and seizures. At the time of admition observed lack of consciousness, seizures and severe critical condition was observed. Meningitis and septic shock were diagnosed. Based on computed tomography performed on the first day--inflammation of the sinuses soft tissues was diagnosed. Suspected cause of infection was performed 6 weeks earlier surgical correction of the nasal septum. In the next stage of treatment on the seventh day after admission the functional endoscopic sinus surgery was performed. Due to massive tissue hypoperfusion the necrosis in the skin of the lower limbs occurred. Due to the lack of effectiveness antimicrobial therapy use of intravenous ceftaroline was administrated. Effective treatment allowed in day 11 to wean the patient from the ventilator. At the day 26 the patient was transferred to a hospital in the place of residence.
authors.affiliation: Medical University of Poznań, Poland, Multidisciplinary Municipal Hospital: Department of Cardiac Surgery.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Greberski
authors.affiliation: Medical University of Poznań, Poland, Multidisciplinary Municipal Hospital: Anesthesiology and Intensive Care Unit.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Kilanowska
authors.affiliation: Medical University of Poznań, Poland, Multidisciplinary Municipal Hospital: Department of Cardiac Surgery.
authors.forename: Paweł
authors.initials: P
authors.lastname: Bugajski
authors.affiliation: Medical University of Poznań, Poland, Multidisciplinary Municipal Hospital: Anesthesiology and Intensive Care Unit.
authors.forename: Stanisław
authors.initials: S
authors.lastname: Rzymski
authors.affiliation: Medical University of Poznań, Poland, Multidisciplinary Municipal Hospital: Department of Cardiac Surgery.
authors.forename: Radosław
authors.initials: R
authors.lastname: Jarząbek
authors.affiliation: Medical University of Poznań, Poland, Multidisciplinary Municipal Hospital: Department of Cardiac Surgery.
authors.forename: Ryszard
authors.initials: R
authors.lastname: Kalawski
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D009300:Nasal Septum / Q000601:surgery*; D059747:Nasal Surgical Procedures / Q000009:adverse effects; D011183:Postoperative Complications / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D012772:Shock, Septic / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D055815:Young Adult; D000097583:Ceftaroline
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D000097583:Ceftaroline
keywords: inflammation of the sinuses soft tissues osteoporosis; septic shock