On June 14, Dr. Nguyen Tan Phat, Head of the Intensive Care Department of Xuyen A Tay Ninh General Hospital, said that patient H. was brought to the emergency room in a state of septic shock, rapid pulse, low blood pressure, a 1 cm skin tear in the middle third of the outer left leg, and inflammation and redness spreading down to the ankle. The inflammation spread down to the instep of the left toe and above to the patient's left knee.
Ultrasound results showed soft tissue edema in the left leg. Doctors from the Orthopedic and Intensive Care Department quickly consulted and agreed on the diagnosis of septic shock from the wound in the left leg causing acute kidney injury.
Mr. H during treatment after overcoming the critical stage
Patient H. was quickly admitted to the Intensive Care Unit for monitoring and treatment. After a day of treatment, the patient gradually stabilized, kidney function recovered, and the Orthopedic Trauma specialist performed surgery to incise the abscess, wash and drain the pus.
After surgery, the patient was out of danger, conscious and able to communicate, test results gradually returned to normal and was discharged after 9 days of treatment.
According to Dr. Phat, in the past, the department has successfully treated many cases of critical septic shock from wounds such as skin scratches, sharp object cuts on hands and feet due to daily activities and work. Most of the wounds were not treated properly at first or were ignored by the patient because they thought they were not serious, leading to infection, endangering life.
As in the case of patient H., the cause of septic shock was due to the wound not being treated properly initially, so the infection had the opportunity to flare up, causing cellulitis, spreading throughout the leg, and blood poisoning. The disease progresses very quickly, if delayed, the patient may die from septic shock, poisoning. Fortunately, the patient was taken to the hospital and treated promptly.
Doctor Phat recommends that to avoid the risk of infection from wounds, if you have a wound, you should go to a medical facility to have the wound properly assessed and treated, as well as receive a timely tetanus shot. In particular, you should go to a medical facility immediately for examination if an infection occurs through symptoms such as: the wound does not heal, redness and swelling, and severe inflammation accompanied by pus or unusual fluid, etc.
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