Dear All Hope all okay - am just reflecting on a case on our ward of a previously fit 35 year old guy, discharged from ICU after severe sepsis from arm cellulitis and Group A Strep in blood. He's had a good week of Benpen and Clindamycin, but left with bilateral moderate pleural effusions and a RR of 24, in the context of albumin 24. Questions:
i) how common is sepsis induced myocardial dysfunction, or is that all more likely to be iatrogenic fluid overload? Thought it was a bit odd that lung fields clear on examination and no parenchymal changes of pulmonary oedema on CXR ii) If he'd had acute lung injury during the acute process, could that have resolved into pleural effusions? Am assuming that this wouldn't respond to frusemide quite as well as the top two would do. He wasn't ventilated by the way. Many thanks Tom Morris ID/GIM Str Sent from my iPhone _______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
