Letaler Verlauf einer Meningokokkensepsis?das Waterhouse-Friderichsen-Syndrom

6533b854fe1ef96bd12af1ce

RESEARCH PRODUCT

Letaler Verlauf einer Meningokokkensepsis?das Waterhouse-Friderichsen-Syndrom

Holger Auerbach Ralf Blank H.-j. Von Mengden M. Koch T. Hansen

subject

Gynecology medicine.medical_specialty business.industry Emergency Medicine Medicine Emergency Nursing Critical Care and Intensive Care Medicine business

description

Wir berichten uber einen 59-jahrigen Patienten, der nach unspezifischem Infekt der oberen Atemwege somnolent und hochfiebernd in unserer Klinik aufgenommen wurde. Innerhalb von Stunden entwickelte sich ein Waterhouse-Friderichsen-Syndrom als Sonderform der Meningokokkensepsis. Bei Auftreten von septischem Schock und disseminierter intravasaler Gerinnung verlauft die Krankheit trotz maximaler intensivmedizinischer Therapie in 85 –90% letal. Entscheidend fur einen Therapieerfolg sind die fruhestmogliche Diagnosestellung und die fruhzeitige Antibiotikagabe. Enge Kontaktpersonen sollten umgehend eine Antibiotikaprophylaxe erhalten.

year	journal	country	edition	language
2004-05-01	Intensivmedizin und Notfallmedizin

https://doi.org/10.1007/s00390-004-0474-8

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