open access

Vol 46, No 2 (2014 Apr-Jun)
Case reports
Submitted: 2014-05-09
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Efficacy of plasma exchange in septic shock: a case report

Jolanta Sołtysiak, Alicja Bartkowska-Śniatkowska, Jowita Rosada-Kurasińska, Katarzyna Lipkowska, Jacek Zachwieja
DOI: 10.5603/AIT.2014.0018
·
Anaesthesiol Intensive Ther 2014;46(2):92-95.

open access

Vol 46, No 2 (2014 Apr-Jun)
Case reports
Submitted: 2014-05-09

Abstract

The mortality rate for severe sepsis and septic shock remains high. Additionally, this life-threatening state poses serious difficulties for the treatment of patients. Unfortunately, the mechanism of sepsis is complex and not well understood. In this paper, we present the case of a 2.5-year-old female with septic shock treated with plasma exchange (PE) as a nonstandard therapy. We analysed the medical history of disease, including patient data, physical examination, laboratory tests and treatment. Unexpectedly, we achieved clinical improvement after the first PE. During PE, the dose of catecholamine was reduced. In addition, the level of C-reactive protein seemed to be a better predictor of the efficacy of PE in septic shock compared to procalcitonin. We conclude that PE may improve the survival rate for patients with septic shock. These data could be useful in the search and introduction of new or alternative methods of treatment for critically ill children.

Abstract

The mortality rate for severe sepsis and septic shock remains high. Additionally, this life-threatening state poses serious difficulties for the treatment of patients. Unfortunately, the mechanism of sepsis is complex and not well understood. In this paper, we present the case of a 2.5-year-old female with septic shock treated with plasma exchange (PE) as a nonstandard therapy. We analysed the medical history of disease, including patient data, physical examination, laboratory tests and treatment. Unexpectedly, we achieved clinical improvement after the first PE. During PE, the dose of catecholamine was reduced. In addition, the level of C-reactive protein seemed to be a better predictor of the efficacy of PE in septic shock compared to procalcitonin. We conclude that PE may improve the survival rate for patients with septic shock. These data could be useful in the search and introduction of new or alternative methods of treatment for critically ill children.

Get Citation

Keywords

septic shock, treatment, therapeutic plasma exchange; septic shock, children

About this article
Title

Efficacy of plasma exchange in septic shock: a case report

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 46, No 2 (2014 Apr-Jun)

Pages

92-95

DOI

10.5603/AIT.2014.0018

Bibliographic record

Anaesthesiol Intensive Ther 2014;46(2):92-95.

Keywords

septic shock
treatment
therapeutic plasma exchange
septic shock
children

Authors

Jolanta Sołtysiak
Alicja Bartkowska-Śniatkowska
Jowita Rosada-Kurasińska
Katarzyna Lipkowska
Jacek Zachwieja

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