Abstract

GONZALEZ AGUILERA, Julio César et al. Cutaneous manifestations septic shock in an adult woman. MEDISAN [online]. 2015, vol.19, n.5, pp.638-644. ISSN 1029-3019.

The case report of a 33 years adult woman is described with a history of bronchial asthma who was admitted in "Carlos Manuel de Céspedes" University General Hospital in Bayamo (Granma), due to septic shock caused by a bacterial bronchopneumonia, besides organic dysfunction, sustained metabolic acidosis which required high doses of vasoactive drugs. Lesions disseminated in the skin were also present, mainly in the distal areas of hands and feet, violet in colour and ischemic necrosis toward the fleshy part of the fingers. In the blood cultures Staphylococcus aureus was isolated, and the treatment consisted on hemodynamic support, wide spectrum antimicrobials, corticosteroids and cures in the cutaneous lesions that included necrectomy

Keywords : severe sepsis; septic shock; cutaneous manifestations; Staphylococcus aureus; secondary health care.

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