A Young Man With Severe and Disabling Complications of Septic Shock

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
L E M HaasM Otten

Abstract

A young man had severe septic shock with multiorgan failure due to necrotizing fasciitis caused by group A streptococcus after endoscopic repair of a preperitoneal inguinal hernia. He was treated with surgical exploration and antibiotics and resuscitated with fluids, vasopressors, and inotropic agents. He survived this critical illness, but when he woke up from sedation, his vision was lost in both eyes. Ophthalmological evaluation revealed minimal peripapillary retinal hemorrhages without signs of papillary edema. Visually evoked potentials were negative. Magnetic resonance imaging did not show a cause of the visual damage. The patient had bilateral ischemic optic neuropathy diagnosed. Two weeks later, unilateral sudden deafness also developed. The acquired blindness and hearing loss were unchanged after more than 1 year and seem to be permanent, severely disabling this young survivor of septic shock.

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Citations

Mar 20, 2016·Seminars in Arthritis and Rheumatism·María José García-PaísJuan Corredoira
Oct 15, 2019·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Sultan S Aldrees, Jonathan A Micieli
May 11, 2017·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Maya Frank WolfYariv Yogev
Aug 19, 2020·Expert Review of Anti-infective Therapy·Simone C TauberRoland Nau

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