Septic shock

Critical urgency
-Very severe
Septic shock is the state of arterial hypotension induced by sepsis (serious infection of the body by an internal infectious focus through which bacteria pass into the blood) that persists despite appropriate treatment, and which causes organ failure and cell death due to this infection. The most common cause is a bacterial infection. It manifests as a multiple organ failure (arterial hypotension, high or low temperature, increased heart and respiratory rate, altered mental status, circulation disorder, etc.). Diagnosis is based on the medical history, a physical examination, laboratory tests, cultures and imaging tests. Treatment must be performed as soon as possible in an intensive care unit based on general supportive measures, antimicrobial measures, specific measures for the resolution of focuses or factors maintaining the infection and preventing progression of the symptoms.
Bibliographic references
  1. Gregory A Schmidt, Jess Mandel. Evaluation and management of suspected sepsis and septic shock in adults. UpToDate. Sep 14, 2016.
  2. Freitag A, Constanti M, O'Flynn N, et al. Suspected sepsis: summary of NICE guidance. BMJ 2016; 354:i4030.
  3. Dellinger RP, Levy MM, Rhodes A, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med 2013; 41:580.
  4. Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 2016; 315:801.
  5. Munrod RS. Septicemia grave y choque séptico. Harrison. Manual de Medicina. 16º edición. 49-53.
  6. Jose María Barbero Allende, Virginia Gracia Lorenzo. Bacteriemia y sepsis. Manual de diagnóstico y terapéutica médica Hospital Universitario 12 de octubre. 6ª edición. 2007. 389:399
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Passing little urine


    Cold sweat


    Fever / Feel very hot


    Shortness of breath at rest


    Skin with alternating white and blue areas