Matthews P C, Willatts S M
Department of Anaesthesia and Intensive Care, Bristol Royal Infirmary, UK.
Intensive Care Med. 1998 Oct;24(10):1106-9. doi: 10.1007/s001340050724.
Septic shock is characterised by infection causing a systemic inflammatory response, end-organ failure and acute circulatory collapse. Treatment consists of antimicrobial therapy and the supportive management of multi-organ failure. We report a case of what we believed to be septic shock due to pyelonephritis in a patient whose condition continued to deteriorate despite conventional treatment until the diagnosis of Sweet's syndrome was made. Once she was started on high dose steroids, her condition improved and she made a full recovery. We believe this to be the first case of a severe systemic inflammatory response syndrome associated with Sweet's syndrome.
脓毒性休克的特征是感染引发全身炎症反应、终末器官衰竭和急性循环衰竭。治疗包括抗菌治疗和多器官衰竭的支持性管理。我们报告了一例我们认为是由肾盂肾炎导致的脓毒性休克病例,该患者尽管接受了常规治疗,病情仍持续恶化,直到确诊为Sweet综合征。一旦开始使用大剂量类固醇治疗,她的病情得到改善并完全康复。我们认为这是首例与Sweet综合征相关的严重全身炎症反应综合征病例。