Universität zu Köln

Seifert, A., Hartog, C. S., Zweigner, J., Schummer, W. and Reinhart, K. (2017). Sepsis masquerading as delirium. Anaesthesist, 66 (11). S. 858 - 862. NEW YORK: SPRINGER. ISSN 1432-055X

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Abstract

A previously healthy 60-year-old patient presented to the emergency department with severe headache, altered personality and fever. He was treated for bacterial meningitis with delirium of unknown cause but presumed to be due to alcohol withdrawal. Despite receiving the antibiotic therapy regimen recommended for bacterial meningitis the patient's condition rapidly deteriorated with profound delirium and tachypnea. The intensivist who was consulted immediately suspected sepsis-associated organ failure and admitted the patient to the intensive care unit (ICU). The blood culture was positive for Listeria. After 10 days the patient could be discharged from the ICU and ultimately recovered completely. In patients presenting with unexplained delirium or altered personality the suspicion of septic encephalopathy should always be considered. They should be admitted to the ICU and sepsis treatment should be initiated without delay.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Seifert, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hartog, C. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Zweigner, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schummer, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Reinhart, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-212493
DOI:	10.1007/s00101-017-0361-x
Journal or Publication Title:	Anaesthesist
Volume:	66
Number:	11
Page Range:	S. 858 - 862
Date:	2017
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-055X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MENINGITIS Multiple languages Anesthesiology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/21249