The Conundrum of Septic Shock Imitators in Patients with Hematologic Cancers: Case Presentation and Possible Differential Diagnoses. (10th September 2019)

• Record Type: Journal Article
• Authors: Berlot, Giorgio; Moratelli, Giulia; Tarchini, Martina; Battaglia, Katiuscia; Grassi, Paolo; Zarrillo, Nadia; Colella, Vincenzo; Bussani, Rossana
• Other Names: Lazzeri Chiara Academic Editor.
• Is Part Of: Case reports in critical care. Volume 2019(2019)
• Publication Date: 2019-09-10
• Subjects: Critical care medicine -- Periodicals; Emergency medicine -- Periodicals; Medical emergencies -- Periodicals; 616.02805
• DOI: 10.1155/2019/6561018
• Languages: English
• ISSNs: 2090-6420

Abstract

Abstract : The authors describe the case of a patient treated with several cycles of chemotherapy due to an advanced stage non-Hodgkin lymphoma. One daafter the last cycle, he was admitted to our Intensive Care Unit with a septic shock-like clinical picture which didn't respond to the aggressive treatment and the patient died a few hours later. The autoptical findings cast some doubts on the diagnosis, and demonstrated the presence of other factors imitating its symptoms. In this article, the mimickers of septic shock are reviewed and discussed, as some of them require an aggressive immunosuppression instead of the recommended treatment for septic shock.