Sepsis induced by purulent spondylodiscitis and pyelonephritis in an 80-years-old man

Česká verzia

Authors: P. Makovičková ¹; P. Weber ¹; F. Sokol ²; J. Mrázová ³
Authors place of work: Lékařská fakulta Masarykovy univerzity a FN, Brno Klinika interní, geriatrie a praktického lékařství Přednosta: prof. MUDr. Hana Matějovská Kubešová, CSc. ¹; Ústav patologie MU a FN, Brno Přednosta: MUDr. Leoš Křen, Ph. D. ²; Radiologická klinika MU a FN, Brno Přednosta: prof. MUDr. Vlastimil Válek, CSc., MBA ³
Published in the journal: Prakt. Lék. 2015; 95(5): 225-227
Category: Case Report

Summary

The article describes a case of sepsis with purulent spondylodiscitis and pyelonephritis in an 80-years-old patient, which ends with death of the patient. The patient comes to the hospital with completely non-specific and less pronounced symptoms than in a usual clinical type of the disease. The article deals with the dif-ferences in the response of immune system of geriatric patients. It also tries to explain the possibility of misinterpretation of the symptoms of a systemic infection on the basis of the altered cellular responses. These systemic infections could be fatal if unnoticed, especially for the old man. The aim of this article is to focus on some of the difficulties of diagnosis and therapy of sepsis and spondylodiscitis in the geriatric patients and to point out the atypical nature of the clinical picture of severe life-threating illness in elderly age.

Keywords:
sepsis in elderly – pyelonephritis – spondylodiscitis

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