@article{article_1283469, title={A Rare Cause of Septic Shock: Two Different Focuses}, journal={Güncel Tıbbi Araştırmaları Dergisi}, volume={2}, pages={16–19}, year={2022}, DOI={10.52818/cjmr.v2i2.119}, author={Cınaroglu, Osman Sezer and Efgan, Mehmet Goktug and Payza, Umut and Topal, Fatih Esad}, keywords={Pneumosepsis, gallbladder perforation, focuses of infection}, abstract={Introduction: Despite all clinical studies, sepsis is still a serious cause of mortality. Finding the focus of sepsis and starting treatment for the cause is the most important step. In order to determine the source correctly, the whole body needs to be evaluated in detail. Sepsis is usually caused by a single focus. However, it should be kept in mind that there may be a secondary focus, albeit rarely.
Case Report: A patient who had been treated for 10 days due to pneumonia was admitted to our emergency room due to confusion. Findings in computed tomography performed at an external center were interpreted as pneumonia. The patient’s blood pressure was 85/60 mmHg, pulse 132 beats/min, and he had a fever (39°C). The patient was considered as having sepsis due to pneumonia. However, when the images were interpreted in the emergency room, perforation of an abscess of the gallbladder was seen, along with pneumonia.
Discussion: Treatment specific to the cause of sepsis should be started quickly. In rare cases, several different factors can be found together. In particular, physicians should be more careful about silent and hardly detectable infections such as intraabdominal abscesses, cranial infections, and cardiac focuses. It should always be kept in mind that there may be more than one source.}, number={2}, publisher={Izmir Katip Celebi University}