2008, Number 1
<< Back Next >>
Med Int Mex 2008; 24 (1)
Pathogenic mechanisms in sepsis and septic shock
Cabrera RA, Laguna HG, López HG, Villagómez OA, Méndez RR, Guzmán GR
Language: Spanish
References: 10
Page: 38-42
PDF size: 120.69 Kb.
ABSTRACT
Few spaces exist in critical medicine that have woken up so much interest, investigation and frustration as sepsis. In spite of the advances in diagnostic and therapeutic methods, the morbidity and mortality keep on being unacceptably elevated. Sepsis is the systemic reaction exaggerated of the guest to the infection that alters the homeostasis through a waterfall gone out of control of inflammation, immunosuppression, upsets in the coagulation and the fibrinolysis’ alteration. Damage provokes hipoxia to microcirculation and direct damage to the tissues that usually leads patients to shock, multiple organic dysfunction and death. This paper includes the main physiopathological mechanisms of host response to pathogen microorganisms invasion, including proinflammatory cytokines release, immunosuppression, coagulation cascade affection and the importance of genetic susceptibility to sepsis.
REFERENCES
Bone RC, Fisher CJ Jr, Clemmer TP, et al. Sepsis syndrome: A valid clinical entity. Crit Care Med 1989;17:389-93.
Increase in national hospital discharge survey rates for septicemia- United States 1979-1987. Morbid Mortal Weekly Rep 1990;39:31-34.
Palencia E. Epidemiología de la sepsis. REMI 2004;4(7):C1. http://remi.uninet.edu/2004/07/REMICO1b.htm
González Chávez A, Conde Mercado JM. Epidemiología y etiología en sepsis y disfunción orgánica múltiple. En: Cuidados intensivos en el paciente séptico. México: Prado 2002;pp:1-18.
Balk RA, Bone RC. The septic syndrome: Definitions and clinical implications. Crit Care Clin 1989;5:1-8.
Brealey D, Brand M, Hargreaves I, et al. Association between mitochondrial dysfunction and severity and outcome of septic shock. Lancet 2002;360:219-23.
Fisher C, Dhainaut JF, Opal SM, et al. Recombinant human interleukin 1 receptor antagonist in the treatment of patients with sepsis síndrome. JAMA 1994;271:1835-43.
Zee KJ, De Foege LE, Fischer E, et al. IL-8 in septic shock, endotoxemia, and alter IL-1 administration. J Immunol 1991;146:3478-82.
Parrillo JE. Pathogenic mechanisms of septic shock. N Engl J Med 1993;328:1471-7.
Takeuchi O, Hocino K, Akira S. Cutting edge: TLR-2 deficient and MyD88-deficient mice are highly susceptible to Staphylococcus aureus infection. J Inmunol 2000;165:5392-6.