Table 1 Main patient data
From: Life-threatening complications of streptococcal sepsis: a PICU contemporary series
Case no. | Age (m)/sex | Microbiology penicillin susceptibility | PICU presentation and complications | PICU stay (days) | Prism-II | PICU management | Outcome | |
|---|---|---|---|---|---|---|---|---|
(S/D) | GOS | |||||||
A1 | 0.6M | GBS ++ | Septic shock, meningitis, sinovenous thrombosis, | 45 | 35 | MV(13), HS[Dop, Epi], UFH, AT | S | 4 |
A2 | 1F | GBS ++ | Septic shock, meningitis, multifocal intracranial haemorrhage | 23 | 32 | MV (HFOV), HS[Epi, Nepi, Terlipr], PC | S | 3 |
A3 | 2M | GBS ++ | Status epilepticus, meningitis, ischaemic stroke | 30 | 18 | MV (4), AT, anticonvulsants | S | 4 |
A4 | 3F | GBS ++ | Septic shock , meningitis, DIC, massive brain oedema-herniation | 35 | 35 | MV, [Dop, Epi] | D | 1 |
B1 | 0.1M | S. Faecalis + | Sepsis, ascites, pneumonia | 45 | 25 | MV (30), HS (Nepi, Dob,Terlipr), PC | S | 3 |
B2 | 0.3M | S. Faecalis + | Sepsis, pneumonia, RL enphysema | 24 | 22 | MV(15) HS (dopa) | S | 5 |
B3 | 22F | Str. faecalis + | Pneumonia, empyema, ARF | 7 | 15 | NIV(6), HS[Dop] | S | 5 |
C1 | 23F | Str. Viridans ++ | Septic shock, DIC, cardiogenic shock | 10 | 38 | MV(6), HS [Dob, Enox], aPC, FFP, AT | S | 5 |
C2 | 28F | Str. viridans ++ | Pulm consolidation, Pleural empyema, ARF, HUS-TTP | 18 | 24 | CVVHDF, PE, HS [DB], MV [10], fenoldopam | S | 5 |
C3 | 29M | Str. viridans + | Acute endocarditis, respiratory failure | 6 | 32 | NIV(2), MV (4), HS [Dobu, Dopa] | S* | 4 |
C4 | 0.5F | Str. viridans + | Sepsis-meningitis Acute heart failure | 6 | 36 | MV (3), NIV (2), HS (Dobu, Milrn) | S | 4 |
D1 | 36M | Str. pyogenes ++ | ARF, airway obstruction Pulmonary hypertension | 10 | 18 | MV(8), NO | S | 4 |
D2 | 36F | Str. Pyogenes ++ | ARDS, pneumatocele, broncho-pleural fistula | 12 | 25 | MV(20), single lung ventilation, HS [Dop] | S | 5 |
D3 | 40M | Str. pyogenes ++ | Septic shock, ARDS, renal failure | 18 | 37 | MV, CVVHDF, HS[Epi, Nepi, Terli, LS], PC suppl, fenoldopam | S | 5 |
D4 | 19M | Str. pyogenes ++ | Pneumonia - empyema | 16 | 18 | MV (1), NIV (10) | s | 5 |