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Abstract: Staphylococcus aureus sepsis is a type of sepsis. 75-year-old Auntie Yang recently fainted suddenly and later developed fever, and sought medical attention because she was worried about the presence of serious diseases. After the relevant examination combined with Auntie Yang’s self-report, the presence of Staphylococcus aureus sepsis was considered. After communicating with Auntie Yang and her family, she agreed to take medication to control the disease. After controlling the symptoms with medication, she was discharged from the hospital.
Basic information】Female, 75 years old
Type of disease】Sepsis (Staphylococcus aureus sepsis)
Hospital】The First Affiliated Hospital of Xi’an Jiaotong University
Date of consultation】May 2021
Treatment plan】Intravenous injection (ribavirin injection, ceftriaxone sodium for injection, magnesium isoglycyrrhizate injection)
[Treatment period] Standardized treatment for 15 days, rechecked after 1 week
Treatment effect】The symptoms of discomfort gradually improve until they disappear
I. Initial consultation
When we first saw Auntie Yang, she was wheeled in by a flat cart, and she was seen to be intermittently clear, with poor mental status and bruised eyes. Auntie Yang’s family told me that she had chronic viral hepatitis B in the past and that she wanted to be examined further to determine the type of disease because she started to have intermittent fainting a few days ago and recently started to have fever. I conducted a preliminary examination of Auntie Yang and found that the breath sounds in both lungs were clear, no dry and wet rales were heard, no obvious murmurs were heard in the auscultation area of each heart valve, and no obvious abnormalities were seen on abdominal palpation. After that, I did urinalysis for Auntie Yang and found that the leukocyte level was 19uL, which was relatively high. Combined with Auntie Yang’s symptoms of urinary urgency and painful urination, I considered the existence of urinary tract infection, which further caused sepsis because the inflammatory infection had not been effectively treated for a long time.
II. Treatment process
After admission, the condition of sepsis was explained to Auntie Yang and her family, and they were informed that anti-infection treatment could be carried out for sepsis, and antiviral treatment for viral hepatitis was also needed, to which the family agreed. So, ceftriaxone sodium for injection was prescribed for Auntie Yang for routine anti-infective treatment, and ribavirin injection and magnesium isoglycyrrhizate injection were used to treat chronic viral hepatitis B. During the treatment period, it was necessary to pay attention to the improvement of Auntie Yang’s symptoms, and it was also necessary to change the medication if the symptoms did not improve well. After 15 days of medication, Yang’s condition was better controlled and she was discharged from the hospital.
Third, the effect of treatment
After the standardized medication treatment, Auntie Yang’s condition gradually improved, her body temperature returned to normal, her mental status improved, her mental clarity was clear, the bruising in both eyes was relieved, the symptoms of urinary urgency and painful urination were lessened than before, and she reported no other special discomfort. In addition, chronic viral hepatitis B has been better controlled after the use of drugs, and a week after discharge from the hospital, a routine urine examination was performed to clarify that there were no other abnormalities, and the indexes returned to normal, so it is clear that the effect of drug treatment is better and the infection has been controlled.
IV. Notes
Because of Yang auntie’s own better constitution, so after standard drug treatment symptoms remission faster, I sincerely feel happy for Yang auntie, but recommended that the following matters should be noted after discharge: 1, pay attention to keep the vulva clean, 1, pay attention to keep the vulva clean.
1, pay attention to keep the vulva clean, use water to rinse every day, change underwear regularly, daily should wear loose, breathable underwear.
2. Pay attention to ensure a light diet and increase the intake of vegetables, fruits and high-protein foods, such as milk, oranges and spinach, in appropriate amounts. However, avoid eating spicy stimulating and greasy food to avoid slowing down the recovery of the disease.
3, daily attention should also be paid to avoid sedentary, drink more water to promote urination, so as not to lead to recurrence of urinary tract infection symptoms.
V. Personal insight
In this case, Auntie Yang’s urinary tract infection was not treated in time and caused systemic infection symptoms that induced sepsis. If she had sought medical treatment in time after the symptoms of urinary frequency and urgency, it might not have led to sepsis. In addition, for older, family members in the daily should also take care of carefully, found in the family of the elderly with symptoms of discomfort, do not delay, promptly send them to the doctor, so as not to cause delays or complications of other serious diseases, delaying treatment time, and may even be life-threatening.