Fatal Septic Shock Associated with Herpes Simplex Virus Hepatitis: A Case Report.

Unlabelled: Herpes simplex viruses are endemic worldwide, with an estimated seroprevalence of approximately 70% in developed countries. However, it is less well known that they are one of the viral causes of fulminant hepatitis (<2%) and constitute <1% of all causes of acute liver failure. We describe the case of an 89-year-old man who developed sepsis caused by a urinary tract infection due to drug-sensitive .

Outcome of elderly patients with circulatory failure.

Purpose: The proportion of elderly patients admitted to the ICU is increasing. Mortality rates are known to increase with age but the impact of age on outcomes after circulatory shock has not been well defined.

Methods: We performed a secondary analysis of data from a large randomized trial comparing the effects of dopamine and norepinephrine on outcome in the ICU.

Comparison of dopamine and norepinephrine in the treatment of shock.

Background: Both dopamine and norepinephrine are recommended as first-line vasopressor agents in the treatment of shock. There is a continuing controversy about whether one agent is superior to the other.

Methods: In this multicenter, randomized trial, we assigned patients with shock to receive either dopamine or norepinephrine as first-line vasopressor therapy to restore and maintain blood pressure.

[Staphylococcus aureus bacteremia and epidural mass in a patient with tophaceous gout].

We present a case of Staphylococcus aureus septicaemia complicated with endocarditis and spondylodiscitis C2-C3 with compressive epidural mass in a 74-year old patient with a history of gouty arthritis and aortic prosthetic valve. Tophaceous material has been found when surgical decompression of the abscess has been performed. Staphylococcus aureus bacteremia is a serious and common infection with high mortality and complication rate.

Use of low tidal volume in septic shock may decrease severity of subsequent acute lung injury.

Recent studies have indicated that protective lung strategies may improve outcomes in acute lung injury. We hypothesized that the use of a lower tidal volume early during septic shock may protect against the subsequent development of acute lung injury. Fourteen fasted, anesthetized, invasively monitored, mechanically ventilated, female sheep (26.