Médecine et Santé Tropicales
MENUSeptic shock with multiple organ failure after returning from Southeast Asia Volume 26, issue 1, Janvier-Février-Mars 2016
Authors
1 Réanimation, hôpital d’instruction des armées Desgenettes, Lyon, France
2 Biologie médicale, hôpital d’instruction des armées Desgenettes, Lyon, France
3 Imagerie médicale, hôpital d’instruction des armées Desgenettes, Lyon, France
4 Imagerie médicale, hôpital d’instruction des armées Robert-Picqué, Villenave d’Ornon, France
5 Anesthésie-réanimation, hôpital d’instruction des armées Percy, 101 avenue Henri Barbusse, 92140 Clamart, France
* Correspondance
- Key words: scrub typhus, rickettsial disease, septic shock
- DOI : 10.1684/mst.2015.0500
- Page(s) : 31-4
- Published in: 2016
For a patient recently returned from a tropical country in intensive care, the leading hypothesis for a fever leading to multiple organ failure is evidently malaria. Nonetheless, many other causes are possible and should be considered: parasites, viruses, and bacteria. A multidisciplinary discussion between specialists in emergency medicine, radiology, pathology, and infectious diseases is essential to start appropriate treatment as quickly as possible without impairing the patient's prognosis.