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[Artigo] Sepsis, Diagnosis, Adult

Sepsis is a serious bodily reaction to an infection. The infection that triggers sepsis may be from a bacteria, virus, or fungus. Sepsis can result from an infection in any part of your body. Infections that commonly lead to sepsis include skin, lung, and urinary tract infections.

Sepsis is a medical emergency that must be treated right away in a hospital. In severe cases, it can lead to septic shock. Septic shock can weaken your heart and cause your blood pressure to drop. This can cause your central nervous system and your body’s organs to stop working.

What are the causes?

This condition is caused by a severe reaction to infections from bacteria, viruses, or fungus. The germs that most often lead to sepsis include:
• Escherichia coli (E. coli) bacteria.
• Staphylococcus aureus (staph) bacteria.
• Some types of Streptococcus bacteria.

The most common infections affect these organs:

• The lung (pneumonia).
• The kidneys or bladder (urinary tract infection).
• The skin (cellulitis).
• The bowel, gallbladder, or pancreas.

What increases the risk?

You are more likely to develop this condition if:
• Your body’s disease-fighting system (immune system) is weakened.
• You are age 65 or older.
• You are male.
• You had surgery or you have been hospitalized.
• You have these devices inserted into your body:
          ◦ A small, thin tube (catheter).
          ◦ IV line.
          ◦ Breathing tube.
          ◦ Drainage tube.
• You are not getting enough nutrients from food (malnourished).
• You have a long-term (chronic) disease, such as cancer, lung disease, kidney disease, or
diabetes.
• You are African American.

What are the signs or symptoms?

Symptoms of this condition may include:
• Fever.
• Chills or feeling very cold.
• Confusion or anxiety.
• Fatigue.
• Muscle aches.
• Shortness of breath.
• Nausea and vomiting.
• Urinating much less than usual.
• Fast heart rate (tachycardia).
• Rapid breathing (hyperventilation).
• Changes in skin color. Your skin may look blotchy, pale, or blue.
• Cool, clammy, or sweaty skin.
• Skin rash.

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