Viremia and Septic Shock

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Need some help please.

What are 2 or 3 viruses (HA or CA) that can cause viremia and lead to septic shock?

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Specializes in ER.

Seriously? Google is your friend.

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Specializes in ICU.
:nono: homework free zone
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Specializes in ED/ICU/TELEMETRY/LTC.

I agree, I like helping students, but don't give the question straight off the paper?

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Specializes in Nephrology, Cardiology, ER, ICU.

Moving to nursing student assistance forum.

We do ask that you attempt to find the answers on your own, show us what you have found and then we will try to point you in the right direction.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Need some help please.

What are 2 or 3 viruses (HA or CA) that can cause viremia and lead to septic shock?

Google.....

http://tinyurl.com/5t4xrsz

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FEI...this is NOT a question off "homework". My group is doing a case study in Microbiology and I am helping with the differential diagnosis. The patient has developed triple by-pass post-op septic shock with fever and pneumonia. I know the pathogen is HA-MRSA (yes, I have done my research) BUT part of the case study is the differential diagnosis. I am aware that bacteremia is the leading cause of this BUT viremia and even fungemia "could" cause septic shock. I just need these for the diff diag. I will ultimately rule everything else out.

Here's what I have:

Bacteria...Staphylococcus aureus, Streptococcus pneumoniae, Pseudomonas aeruginosa, Escherichia coli

Virus...HSV-1, HSV-2

Fungi...Candida albicans, other candida species

Do these sound logical and rational?

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I was originally trying to "cut to the chase" without being long-winded BUUUTTTT if that is what it takes......

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
fei...this is not a question off "homework". my group is doing a case study in microbiology and i am helping with the differential diagnosis. the patient has developed triple by-pass post-op septic shock with fever and pneumonia. i know the pathogen is ha-mrsa (yes, i have done my research) but part of the case study is the differential diagnosis. i am aware that bacteremia is the leading cause of this but viremia and even fungemia "could" cause septic shock. i just need these for the diff diag. i will ultimately rule everything else out.

here's what i have:

bacteria...staphylococcus aureus, streptococcus pneumoniae, pseudomonas aeruginosa, escherichia coli

virus...hsv-1, hsv-2

fungi...candida albicans, other candida species

do these sound logical and rational?

i once had to close an entire icu because of serratia and have it cleaned, including ducts. it was every where what a pain....almost every patient

http://en.wikipedia.org/wiki/serratia_marcescens

any type of bacteria can cause septic shock. fungi and (rarely) viruses may also cause the condition. toxins released by the bacteria or fungi may cause tissue damage, and may lead to low blood pressure and poor organ function. example, aspergillosis, candidiasis, and cryptococcosis.

bacteria: streptococcus pneumoniae isolated in nearly 50% of cases. other commonly isolated bacteria include: haemophilus influenzae in 20%, chlamydophila pneumoniae in 13%, mycoplasma pneumoniae in 3% staphylococcus aureus, moraxella catarrhalis, legionella pneumophila and gram-negative bacilli. alcoholism is associated with streptococcus pneumoniae, anaerobic organisms, and mycobacterium tuberculosis, smoking is associated with streptococcus pneumoniae, haemophilus influenzae, moraxella catarrhalis, and legionella pneumophila, exposure to bird with chlamydia psittaci, farm animals with coxiella burnetti, aspiration of stomach contents with anaerobes, and cystic fibrosis with pseudomonas aeruginosa and staphylococcus aureus. streptococcus pneumoniae is more common in the winter.

in adults viruses account for approximately a third of pneumonia cases. commonly implicated agents include: rhinoviruses, coronaviruses. influenza virus. respiratory syncytial virus (rsv), adenovirus, and parainfluenza. herpes simplex virus is a rare cause of pneumonia, except in newborns. people with weakened immune systems are at increased risk of pneumonia caused by cytomegalovirus (cmv).

fungal pneumonia is uncommon, but it may occur in individuals with weakened immune systems. the pathophysiology of pneumonia caused by fungi is similar to that of bacterial pneumonia. fungal pneumonia is most often caused by histoplasma capsulatum, blastomyces, cryptococcus neoformans, pneumocystis jiroveci, and coccidioides immitis. histoplasmosis is most common in the mississippi river basin, and coccidioidomycosis is most common in the southwestern united states.

idiopathic interstitial pneumonia or noninfectious pneumonia are a class of diffuse lung diseases. they include: diffuse alveolar damage, organizing pneumonia, nonspecific interstitial pneumonia, lymphocytic interstitial pneumonia, desquamative interstitial pneumonia, respiratory bronchiolitis interstitial lung disease, bronchiolitis obliterans-organizing pneumonia (boop), and usual interstitial pneumonia.

http://search.medscape.com/reference-search?newsearchheader=1&querytext=boop+pneumonia

http://www.nlm.nih.gov/medlineplus/ency/article/000668.htm

http://www.anaesthetist.com/icu/infect/fungi/findex.htm#serious.htm

http://www.atsu.edu/faculty/chamberlain/website/lectures/syllabi3.htm

i hope this helps some.....:D

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Also, has the hypothetical person been in any areas that are more likely to expose him to bacteria, fungus, or viruses from roaches, rats, fleas, ticks, etc??

Tabers has a really good infectious disease section ;) If they want differentials, that would be a good place to find the symptoms that will match up with the given s/s.

If they want weird, give them weird :)

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