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 Injury/Emergency, Infectious Diseases

Septic shock

Septic shock


Definition:

Septic shock is a serious condition that occurs when an overwhelming infection leads to low blood pressure and low blood flow. The brain, heart, kidneys, and liver may not work properly or may fail.

See also:
Alternative Names:
Bacteremic shock; Endotoxic shock; Septicemic shock; Warm shock
Causes, incidence, and risk factors:

Septic shock occurs most often in the very old and the very young. It also occurs in people who have other illnesses.

Any type of bacteria can cause septic shock. Fungi and (rarely) viruses may also cause the condition. Toxins released by the bacteria or fungus may cause tissue damage, and may lead to low blood pressure and poor organ function. Many researchers believe that abnormal blood clots in small arteries cause the lack of blood flow and poor organ function.

The toxins also cause a strong inflammatory response from the body, which contributes to septic shock.

Risk factors for septic shock include:

  • Diabetes
  • Diseases that weaken the immune system such as AIDS
  • Diseases of the genitourinary system, biliary system, or intestinal system
  • Leukemia
  • Long-term use of antibiotics
  • Lymphoma
  • Recent infection
  • Recent surgery or medical procedure.
Symptoms:
  • Cool, pale extremities
  • High or very low temperature, chills
  • Lightheadedness
  • Low blood pressure, especially when standing
  • Low urine output (due to kidney failure)
  • Palpitations
  • Rapid heart rate
  • Restlessness, agitation, lethargy, or confusion
  • Shortness of breath
Signs and tests:

Blood tests may be done to check for infection, low blood oxygen level, disturbances in the body's acid-base balance, or poor organ function or organ failure.

A chest x-ray may show pneumonia or pulmonary edema.


Review Date: 10/18/2007
Reviewed By: Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network.

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