Doctors Lounge - Infections Answers
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Forum Name: Other infections
Question: Post septic shock, bacterial meningitis
|jjalrs - Thu Jan 29, 2009 12:34 am||
50 yr. old down's syndrom male admitted to hospital with septic shock. Later in blood test it's found he had bacterial meningitis. No spinal tap needed. He was in ICU for about a week and given lots of antibiotics. It looks like he's coming back with no lasting side effects except ongoing diarrhea and ongoing mystery fever. Oh, and it's been about three weeks now. They've taken countless blood samples and done a CT Scan which turned out okay. Is this probably a secondary infection or possibly could his colon have been damaged by the bacterial meningitis? His group home will not take him back if he's infectious and hospital is talking discharge to a nursing home.
|John Kenyon, CNA - Thu Feb 05, 2009 10:12 pm||
If there is no detectable bacterial infection, the patient may be suffering from a reflex fever which can be due to a disturbance of the regulating mechanism in the brain. It also could be due to a walled-off, cystic-type infection, but this seems fairly unlikely. Fever of unknown origin (FUO) is a recognized syndrome, and needs to be followed up until either an underlying cause reveals itself or the fever resolves. Frequently there is no cause found and the fever does eventually go away.
I hope this helps. Please follow up with us as needed. Best of luck to you and to the patient as well.
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