ABSTRACT
In patients who develop sepsis, whether due to primary, secondary or metastatic lesions, the skin is frequently affected. However, there are unresolved aspects regarding the general clinical manifestations in the skin or the prognosis and/or therapeutic implications. The main challenge in the approach to sepsis is its early diagnosis and management. In this review, we address the sepsis-skin relationship and the potential impact of early dermatological intervention on the septic patient through ten basic questions. We found little evidence of the participation of the dermatologist in sepsis alert programs. There are early skin changes that may alert clinicians on a possible sepsis, such as skin mottling or variations in acral skin temperature. In addition, the skin is an accessible and highly cost-effective tissue for etiological studies of some forms of sepsis (e.g., meningococcal purpura) and its involvement defines the prognosis of certain patients (e.g., infective endocarditis).
Subject(s)
Dermatology , Endocarditis, Bacterial , Endocarditis , Sepsis , Humans , Sepsis/diagnosis , SkinABSTRACT
La luxación congenital de rodilla es un proceso raro, con una mayor incidencia en el sexo femenino. Se divide en 3 grupos según la clasificación de Ferris: tipo I o recurvatum grave de la rodilla, tipo II o subluxación de la tibia sobre el fémur y tipo III o luxación completa. Se han postulado múltiples causas como posibles etiologías, e incluso existe una relación con la carga genética. Frecuentemente, se asocian otras anomalías musculoesqueléticas, sobre todo el pie zambo y la luxación congénita de cadera. El diagnóstico se realiza al nacer, dada la posición en recurvatum de la rodilla, que se confirma radiológicamente. El tratamiento conservador o quirúrgico, debe insturarse lo más precozmente posible
The aim of this paper is to present our experience in the diagnosis, treatment and comorbidities of a patient with congenital knee dislocation. The lesion was defined as type III, according to the Ferris classification, that is, complete dislocation of the knee associated with congenital clubfoot. Treatment was begun within the first 24 hours of life and consisted initially in manual reduction and immobilization with a flexion cast, which was changed as the deformity over a period of 85 days. An excellent result was achieved. The treatment of congenital knee dislocation should begin as soon as possible and associated pathologies should be treated at the same time
