This study retrospectively investigated the significance of whole body CT (WCT) for patients with sepsis. A medical chart review was retrospectively performed for all patients with systemic inflammatory response syndrome that were treated initially between April 2011 and March 2012. The subjects were divided into a WCT group that underwent WCT on arrival and a control group. Results of this study suggested that WCT for sepsis was useful for elderly patients whose chief complaint or physiological findings could not suggest the anatomical site of infection, to determine the infectious focus and indications/method for surgery, to diagnose the basic diseases associated with opportunistic infections and to evaluate complicated diseases
<p>[1] R.P.Dellinger , M.M.Levy, J.M.Carlet, et al, “Surviving Sepsis
Campaign: International guidelines for management of severe sepsis and
septic shock,” Crit Care Med vol.36, pp296-327, 2008.
[2] C.P. Bleekr-Rovers, F.J.Vos, E.M.Kleijn, et al, “A prospective
multicenter study on fever of unknown origin: the yield of a structured
diagnostic protocol,” Medicine (Baltimore), vol.86,pp26-38, 2007.
[3] J.Barkhausen, F.Stöblen, E.Dominguez-Fernandez, et al, “Impact of CT
in patients with sepsis of unknown origin,” Acta Radiol vol.40, pp552-5,
1999.
[4] G. Kumar, N. Kumar, A Taneja, et al, “from the Milwaukee Initiative in
Critical Care Outcomes Research (MICCOR) Group of Investigators.
Nationwide trends of severe sepsis in the 21st century (2000-2007),”
Chest vol.140, pp1223-31, 2011.
[5] S.Huber-Wagner, R.Lefering, L.M.Qvick, et al; Working Group on
Polytrauma of the German Trauma Society, “Effect of whole-body CT
during trauma resuscitation on survival: a retrospective, multicentre
study,” Lancet, vol 373, pp1455-61,2009.
[6] T.Nagai, C.Inoue, K.Tonouchi, et al,”Multiple Organ Failure Followed by
Intrauterine Klebsiella Pneumoiiiae Infection Associated with Diabetes
Mellitus,” Kitakanto Med J vol.59, pp151-5, 2009. In Japanese
[7] Y.Eriguchi, S.Ri, N.Fujimura,et al, “A case of invasive Group A
Streptococca1 infection,” Rinsho to Kenkyu vol.89, pp111-3, 2012. In
Japanese
[8] T.Fujiwara, T.Nagai, K.Kaneko, et al, “Candida Glabrata Fungemia After
Amputation of an Infected Diabetic Foot,” Kitakanto Med J vol.60,
pp259-63, 2010. In Japanese
[9] Y.Yanagawa, Y.Hirano, N.Matsumoto, et al, “Emphysematous
pyelonephritis induced by Citrobacter freundii,” J Emerg Trauma Shock
in press.
[10] M.Gotthardt, C.P.Bleeker-Rovers, O.C.Boerman, et al, “Imaging of
inflammation by PET, conventional scintigraphy, and other imaging
techniques,” J Nucl Med vol.51, pp1937-49, 2010.
[11] S.M.Opal, T.D.Girard, E.W.Ely, , “The immunopathogenesis of sepsis in
elderly patients,” Clin Infect Dis. Vol.41 Suppl 7, ppS504-12, 2005.
[12] D.J.Brenner, E.J.Hall, “Computed tomography: An increasing source of
radiation exposure,” N Engl J Med vol. 357, pp2277-84, 2007.</p>
<p>[1] R.P.Dellinger , M.M.Levy, J.M.Carlet, et al, “Surviving Sepsis
Campaign: International guidelines for management of severe sepsis and
septic shock,” Crit Care Med vol.36, pp296-327, 2008.
[2] C.P. Bleekr-Rovers, F.J.Vos, E.M.Kleijn, et al, “A prospective
multicenter study on fever of unknown origin: the yield of a structured
diagnostic protocol,” Medicine (Baltimore), vol.86,pp26-38, 2007.
[3] J.Barkhausen, F.Stöblen, E.Dominguez-Fernandez, et al, “Impact of CT
in patients with sepsis of unknown origin,” Acta Radiol vol.40, pp552-5,
1999.
[4] G. Kumar, N. Kumar, A Taneja, et al, “from the Milwaukee Initiative in
Critical Care Outcomes Research (MICCOR) Group of Investigators.
Nationwide trends of severe sepsis in the 21st century (2000-2007),”
Chest vol.140, pp1223-31, 2011.
[5] S.Huber-Wagner, R.Lefering, L.M.Qvick, et al; Working Group on
Polytrauma of the German Trauma Society, “Effect of whole-body CT
during trauma resuscitation on survival: a retrospective, multicentre
study,” Lancet, vol 373, pp1455-61,2009.
[6] T.Nagai, C.Inoue, K.Tonouchi, et al,”Multiple Organ Failure Followed by
Intrauterine Klebsiella Pneumoiiiae Infection Associated with Diabetes
Mellitus,” Kitakanto Med J vol.59, pp151-5, 2009. In Japanese
[7] Y.Eriguchi, S.Ri, N.Fujimura,et al, “A case of invasive Group A
Streptococca1 infection,” Rinsho to Kenkyu vol.89, pp111-3, 2012. In
Japanese
[8] T.Fujiwara, T.Nagai, K.Kaneko, et al, “Candida Glabrata Fungemia After
Amputation of an Infected Diabetic Foot,” Kitakanto Med J vol.60,
pp259-63, 2010. In Japanese
[9] Y.Yanagawa, Y.Hirano, N.Matsumoto, et al, “Emphysematous
pyelonephritis induced by Citrobacter freundii,” J Emerg Trauma Shock
in press.
[10] M.Gotthardt, C.P.Bleeker-Rovers, O.C.Boerman, et al, “Imaging of
inflammation by PET, conventional scintigraphy, and other imaging
techniques,” J Nucl Med vol.51, pp1937-49, 2010.
[11] S.M.Opal, T.D.Girard, E.W.Ely, , “The immunopathogenesis of sepsis in
elderly patients,” Clin Infect Dis. Vol.41 Suppl 7, ppS504-12, 2005.
[12] D.J.Brenner, E.J.Hall, “Computed tomography: An increasing source of
radiation exposure,” N Engl J Med vol. 357, pp2277-84, 2007.</p>
@article{"International Journal of Medical, Medicine and Health Sciences:59344", author = "Y. Yanagawa and K. Aihara and S. Watanabe and M. Takemoto and T. Naito and T. Iba and H. Tanaka", title = "Whole Body CT for a Patient with Sepsis", abstract = "This study retrospectively investigated the significance of whole body CT (WCT) for patients with sepsis. A medical chart review was retrospectively performed for all patients with systemic inflammatory response syndrome that were treated initially between April 2011 and March 2012. The subjects were divided into a WCT group that underwent WCT on arrival and a control group. Results of this study suggested that WCT for sepsis was useful for elderly patients whose chief complaint or physiological findings could not suggest the anatomical site of infection, to determine the infectious focus and indications/method for surgery, to diagnose the basic diseases associated with opportunistic infections and to evaluate complicated diseases
", keywords = "Sepsis, CT, outcome.", volume = "7", number = "6", pages = "269-4", }
