• Deb Sanjay Nag, Abhishek Chatterjee, Devi Prasad Samaddar, and Harprit Singh.
• Deb Sanjay Nag, Abhishek Chatterjee, Devi Prasad Samaddar, Department of Anaesthesiology and Critical Care, Tata Main Hospital, Jamshedpur 831001, India.
• World J Clin Cases. 2016 May 16; 4 (5): 130-4.

AbstractWe report a case of 70 years old male who underwent percutaneous nephrolithotomy for renal calculi. After an uneventful recovery from anaesthesia, the patient developed delirium which manifested as restlessness, agitation, irritability and combative behavior. All other clinical parameters including arterial blood gas, chest X-ray and core temperature were normal and the patient remained haemodynamically stable. But 45 min later the patient developed florid manifestations of septic shock. He was aggressively managed in a protocolized manner as per the Surviving Sepsis Guidelines in the Critical Care Unit and recovered completely. There are no case reports showing postoperative delirium as the only initial presentation of severe sepsis, with other clinical parameters remaining normal. Both urosepsis and sepsis associated delirium have very high mortality. High index of suspicion and a protocolized approach in the management of sepsis can save lives.

4 keywords...

hide…