Shock Séptico Secundario a Neumonía

Abstract

Female patient 11 months old emergency attends with his mother which refers thermal rise, irritability. Physical examination saturation of 84% to ambient air temperature 35.9 °, rhythmic heart sounds no heart murmurs, vesicular murmur preserved with diagnostic impression of acute respiratory infection to rule out community-acquired pneumonia. You are asking for a standard chest radiography, paracetamol 20 drops every 8 hours and return with X-ray results, returns at 15 hours referring watery rhinorrhea, but patient leaves the office while attention was performed. Attends private clinic where they treat the patient pathology but unfavorably evolves so is transferred to Hospital Básico IESS Latacunga. Pneumonia is a widespread localized infection or lung parenchyma with predominantly alveolar commitment, is a frequent cause of morbidity and mortality especially in populations with high risk factors such as: low socioeconomic status, low birth weight, absence of breastfeeding, the lower age, lack of immunizations, intra and extra home pollution, etc. Under these conditions there is a predominance of bacterial causes and cases of greater severity, in the winter months. So it is necessary to diagnose and treat in time to avoid complications. Finally we know for a diagnosis and make timely treatment of pneumonia have diagnostic criteria, additional tests which help us to avoid the complications of this disease and death in this case.