Abstract
Sepsis is a critical condition that arises when the body's immune system reacts excessively to an infection. It is linked to an inflammatory response and a presumed infection. Severe sepsis is identified when sepsis leads to organ dysfunction and reduced tissue perfusion. When sepsis is accompanied by ongoing low blood pressure or the requirement for vasopressors, even after sufficient fluid resuscitation, it is termed septic shock. We present a case of a middle-aged female diagnosed with sepsis, who came to EMR with the features of fever with chills associated with generalized weakness since 3 days, along with Hepatomegaly, Left mild hydronephrosis, Proximal ureter calculous, Left hydrosalpines, and Type II diabetes. The diagnosis is confirmed by Sonography of abdomen and pelvis, evidence for organ dysfunction, supported by blood culture and sensitivity test conforming infection, and abnormal laboratory parameters including elevated WBC count, neutrophils, platelet count, C-reactive protein, and decreased haemoglobin, and lymphocytes. Management included antibiotics, anti-diabetics, analgesics, anti-pyretics, proton pump inhibitors, nutritional supplements, dietary supplements, and additional supportive measures, with a stepwise strategy designed to manage the infection and halt the advancement of sepsis.
Keywords
SepsisHepatomegalyHydronephrosisUreter calculousHydrosalpinesAuthor Affiliations
1 Department of Pharmacology and Pharmacy Practice, Nirmala College of Pharmacy (Autonomous), Atmakuru, Mangalagiri, Guntur District, Andhra Pradesh, India
*Corresponding author: Pasam Madhu Mitha — madhupasam0406@gmail.com