A Case of Tetraplegia after Proteus mirabilis Infection

A Case of Tetraplegia after Proteus mirabilis Infection

[1],[2] Acute respiratory distress syndrome, sepsis (especially in patients with Gram-negative bacteremia), systemic inflammatory response syndrome, and multiple organ failure, prolonged bed rest, medication, and hyperglycemia, are major risk factors for critical illness polyneuropathy and myopathy....

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Bibliographic Details
Published in:Journal of emergencies, trauma and shock Vol. 10; no. 3; pp. 163 - 164
Main Authors: Jitsuiki, Kei, Ishikawa, Kouhei, Omori, K Kazuhiko, Yanagawa, Youichi
Format: Journal Article
Language:English
Published: India Medknow Publications and Media Pvt. Ltd 01-07-2017
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects:
Critical care
Illnesses
Infections
Letters to Editor
Medicine
Multiple organ dysfunction syndrome
Patients
Respiratory distress syndrome
Respiratory therapy
Sepsis
Urine
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Summary:[1],[2] Acute respiratory distress syndrome, sepsis (especially in patients with Gram-negative bacteremia), systemic inflammatory response syndrome, and multiple organ failure, prolonged bed rest, medication, and hyperglycemia, are major risk factors for critical illness polyneuropathy and myopathy. [1],[2] Sepsis-related disturbances of the microcirculation in the peripheral nerves and muscles, and the resultant production of cytokines, may increase the permeability of the microvasculature and further exacerbate hypoxemia and energy depletion, following the axonal degeneration of the sensory and motor axons in critical illness polyneuropathy. [3] As the present case also had Gram-negative bacteremia with multiple organ failure, and showed muscle action potential amplitudes of [2] Accordingly, the present case underwent rehabilitation using passive and spontaneous training and a favorable functional outcome was obtained.
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ISSN:0974-2700
0974-519X
DOI:10.4103/JETS.JETS_4_17