s z k i c e a r k a d i u s z ż y c h l i ń s k i l a b o r at o r i u m a n t r o p o f i k c j i Todas las historias del mundo se tejan con la trama de nuestra propia vida. Lejanes, oscuras, son mundos paralelos, vidas posibles, laboratorios donde se experimenta con las pasiones personales.1 Ricardo Piglia I How to do things with fictions, jak działać fikcjami?-pyta Joshua Landy, literaturoznawca z Uniwersytetu Stanforda, w tytule swojej ostatniej książki2. Niejeden spośród tych, którzy zaakceptują zawarte w tym pytaniu nieoczywiste presupozycje-dlaczego akurat filolog miałby je sobie stawiać? dlaczego mówimy o "fikcjach"?-uzna je za pospolicie pragmatyczne: nie o działanie mu idzie, powie, lecz o (bezinteresowne) pomnażanie wiedzy, 1 "Wszystkie historie świata utkane są z wątku naszego własnego życia. Odległe, ciemne, są równoległymi światami, możliwymi życiami, laboratoriami, gdzie eksperymentuje się z osobistymi pasjami". Por. R. Piglia Formas breves, Anagrama, Barcelona 2000, s. 124.
We describe the first reported case of gonococcal septic shock with associated acute respiratory distress syndrome and multisystem organ failure, in which the patient made a full recovery, and add to the paucity of descriptive literature on gonococcal sepsis. The case was a 36-year-old previously healthy Aboriginal female from northern Canada. Treatment included fluid resuscitation, vasoactive drugs, mechanical ventilation, antimicrobial therapy, corticosteroid replacement, activated protein C, and general supportive care. In addition to being the first reported case of gonococcal septic shock with associated acute respiratory distress syndrome and multisystem organ failure in which the patient made a full clinical recovery this is also the first case of gonococcal septic shock treated with activated protein C; an association between its use and the favorable outcome is postulated, but cannot be confirmed.
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