Marked elevation of procalcitonin level can lead to a misdiagnosis of anaphylactic shock as septic shock
The case of a 74-year-old woman who presented with hyperthermia and hypotension is reported. Laboratory test results revealed marked elevation of C-reactive protein (CRP) and procalcitonin (PCT) levels. The clinical presentation and laboratory test results were suggestive of septic shock. No infecti...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2015-08-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971215001460 |
| _version_ | 1828481927385972736 |
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| author | Young Jun Kim Sang Woo Kang Jae Hoon Lee Ji Hyun Cho |
| author_facet | Young Jun Kim Sang Woo Kang Jae Hoon Lee Ji Hyun Cho |
| author_sort | Young Jun Kim |
| collection | DOAJ |
| description | The case of a 74-year-old woman who presented with hyperthermia and hypotension is reported. Laboratory test results revealed marked elevation of C-reactive protein (CRP) and procalcitonin (PCT) levels. The clinical presentation and laboratory test results were suggestive of septic shock. No infectious focus was identified. The shock recurred after what was subsequently understood to be an unintended re-challenge with risedronate sodium. Drug-induced anaphylactic shock was finally diagnosed. Anaphylactic shock may be misdiagnosed as septic shock in patients who present with markedly elevated PCT levels. |
| first_indexed | 2024-12-11T08:04:33Z |
| format | Article |
| id | doaj.art-b10d15785b86435a95db4c49fe5b94ed |
| institution | Directory Open Access Journal |
| issn | 1201-9712 1878-3511 |
| language | English |
| last_indexed | 2024-12-11T08:04:33Z |
| publishDate | 2015-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-b10d15785b86435a95db4c49fe5b94ed2022-12-22T01:15:01ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112015-08-0137C939410.1016/j.ijid.2015.06.012Marked elevation of procalcitonin level can lead to a misdiagnosis of anaphylactic shock as septic shockYoung Jun Kim0Sang Woo Kang1Jae Hoon Lee2Ji Hyun Cho3Department of Internal Medicine, Wonkwang University College of Medicine, 460, Iksandaero, Iksan, 570-749, KoreaDepartment of Internal Medicine, Wonkwang University College of Medicine, 460, Iksandaero, Iksan, 570-749, KoreaDepartment of Internal Medicine, Wonkwang University College of Medicine, 460, Iksandaero, Iksan, 570-749, KoreaDepartment of Laboratory Medicine, Wonkwang University College of Medicine, Iksan, KoreaThe case of a 74-year-old woman who presented with hyperthermia and hypotension is reported. Laboratory test results revealed marked elevation of C-reactive protein (CRP) and procalcitonin (PCT) levels. The clinical presentation and laboratory test results were suggestive of septic shock. No infectious focus was identified. The shock recurred after what was subsequently understood to be an unintended re-challenge with risedronate sodium. Drug-induced anaphylactic shock was finally diagnosed. Anaphylactic shock may be misdiagnosed as septic shock in patients who present with markedly elevated PCT levels.http://www.sciencedirect.com/science/article/pii/S1201971215001460ProcalcitoninSeptic shockAnaphylaxis |
| spellingShingle | Young Jun Kim Sang Woo Kang Jae Hoon Lee Ji Hyun Cho Marked elevation of procalcitonin level can lead to a misdiagnosis of anaphylactic shock as septic shock International Journal of Infectious Diseases Procalcitonin Septic shock Anaphylaxis |
| title | Marked elevation of procalcitonin level can lead to a misdiagnosis of anaphylactic shock as septic shock |
| title_full | Marked elevation of procalcitonin level can lead to a misdiagnosis of anaphylactic shock as septic shock |
| title_fullStr | Marked elevation of procalcitonin level can lead to a misdiagnosis of anaphylactic shock as septic shock |
| title_full_unstemmed | Marked elevation of procalcitonin level can lead to a misdiagnosis of anaphylactic shock as septic shock |
| title_short | Marked elevation of procalcitonin level can lead to a misdiagnosis of anaphylactic shock as septic shock |
| title_sort | marked elevation of procalcitonin level can lead to a misdiagnosis of anaphylactic shock as septic shock |
| topic | Procalcitonin Septic shock Anaphylaxis |
| url | http://www.sciencedirect.com/science/article/pii/S1201971215001460 |
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