Pathologic Genesis, Time Travel, and Multiple Complaints

Veysman, Boris D.

doi:10.1111/j.1553-2712.2011.01026.x

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2016

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“…These cases were also vexing because they violated the emergency medicine truism that numerous unrelated complaints provide reassurance that none is particularly serious ( Veysman, 2011 ; Ofri, 2010 ). In most cases in this series providers were perhaps distracted by multiple vague complaints.…”

Section: Discussionmentioning

confidence: 99%

Delayed recognition of fatal invasive meningococcal disease in adults

et al. 2016

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Introduction:Invasive meningococcal disease can be difficult to detect early in its course when patients may appear well and the severity of their illness is obscured by non-specific complaints.Case presentation:We report five cases of meningococcal sepsis in adult patients who presented to an emergency department early in the course of their disease, but whose severity of illness was not recognized.Conclusion:Suspicion of meningococcal sepsis should be heightened in the setting of hypotension, tachycardia, elevated shock index, leukopaenia with left shift, thrombocytopaenia and hypokalaemia, prompting early sepsis care.

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Section: Discussionmentioning

confidence: 99%