Hypothermia predisposing to Pseudomonas putida sepsis in a child with panhypopituitarism

Cheng Hsun Chiu, Tzou Yien Lin, Jue L. Wu

研究成果: 雜誌貢獻文章

7 引文 斯高帕斯(Scopus)

摘要

A 14-year-old boy presented with a 1-week history of hypothermia and obtundation. His medical history included surgical resection of craniopharyngioma with postoperative visual impairment and panhypopituitarism. The patient's rectal temperature remained persistently lower than 35°C during the first 3 days of hospitalization. His blood pressure was 90/56 mmHg on admission. The peripheral blood leukocyte count was 2.7 x 1010/L with 18% neutrophils, 19% band forms, 44% metamyelocytes, 3% myelocytes, and 16% lymphocytes. The C-reactive protein concentration was 133.9 mg/L. Two separate blood cultures both yielded Pseudomonas putida. The patient was treated with amikacin and ceftazidime along with aggressive fluid therapy. Replacement therapy directed at his hormonal deficiencies was initiated as soon as his hemodynamic status was stabilized. The patient responded well to therapy with a gradual rise in body temperature and improvement in general activity. A growth experiment carried out on the P. putida isolate showed that the bacteria grew more rapidly at 30°C than at 37°C. The clinical course of the patient, as well as the results of the laboratory study, suggest that hypothermia may predispose human infection with P. putida.
原文英語
頁(從 - 到)286-288
頁數3
期刊Journal of the Formosan Medical Association
97
發行號4
出版狀態已發佈 - 四月 1998
對外發佈Yes

ASJC Scopus subject areas

  • Medicine(all)

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