The patient was admitted to the Emergency Department in a state of lethargy, cyanosis, severe respiratory failure and cardiovascular collapse. Immediately, the patient was intubated, put on a ventilator, given intravenous fluids to prevent shock, and given antibiotics, but the condition did not improve, so the patient was transferred to the Intensive Care Unit.
At the Intensive Care Department, the patient was diagnosed with necrotizing pneumonia, cellulitis, and septic shock suspected to be caused by staphylococcus. The patient received mechanical ventilation, intensive anti-shock treatment, vasopressors, and strong antibiotics, but the progress was not favorable, so he was consulted for continuous dialysis to remove toxins, cytokines, and stabilize organ function.
Associate Professor. Dr. Pham Van Quang – Head of Intensive Resuscitation and Poison Control Department, Children’s Hospital 1 said that after 72 hours of intensive resuscitation, the patient overcame the critical stage of septic shock. However, at this time the patient had to face severe pneumonia, necrosis of both lungs along with blood effusion, pleural effusion causing severe respiratory failure.
Doctors conducted a hospital consultation to decide on surgery to drain blood, pleural pus, and remove necrotic tissue from the lungs at the same time as surgery to drain pus in the knee area. After nearly 2 months of intensive treatment, the team of doctors at Children’s Hospital 1 miraculously regained the baby’s life. The patient was discharged from the hospital healthy to the happiness of his family and the doctors of the Intensive Care Department.
“Septicemia caused by staphylococcus often enters the skin with initial manifestations of skin boils, skin infections, soft tissue skin wounds, cellulitis, arthritis, etc. When staphylococcus bacteria enter the bloodstream, it will cause high fever, sepsis and damage to many organs such as pus formation in muscles and soft tissues, osteomyelitis, pleural effusion, pericardium, joint membranes, causing necrotizing pneumonia or septic shock with many complications. symptoms, high risk of death. Therefore, when a patient shows signs of skin infection (skin boils, cellulitis, soft tissue skin wounds, etc.), especially when accompanied by symptoms of high fever, red skin or tired breathing, the patient needs to act quickly. Immediately go to a medical facility for timely diagnosis and treatment,” Dr. Quang added.