Sepse podmíněná purulentní spondylodiscitidou u 80letého muže

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


Year of publication 2015
Type Article in Periodical
Magazine / Source Praktický lékař
MU Faculty or unit

Faculty of Medicine

Field Other medical specializations
Keywords sepsis in elderly; pyelonephritis; spondylodiscitis
Description 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 differences 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.

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