Características clínico-microbiológicas de las lesiones cutáneas en el paciente séptico

Abstract

Sepsis is one of the leading causes of mortality in the world. The main challenge is its early diagnosis. Although clinically sepsis exhibits a wide variety of signs, cutaneous manifestations have been poorly documented in the literature. In dermatology, sepsis has an impact on several aspects: firstly, as a potentially affected tissue in the course of the inflammatory and/or hemodynamic consequences of sepsis and, secondly, as an organ capable of harboring the initial infectious focus or suffering the metastatic spread of the infection from other organs. Despite this, the current literature lacks detailed and updated information on the true prevalence of cutaneous manifestations in patients diagnosed with sepsis, beyond case series or isolated descriptions of clinical pictures or specific microorganisms. This scarcity of information makes it difficult to interpret the findings commonly observed in daily clinical practice and prevents us from defining the impact of cutaneous involvement in the prognostic evaluation of the septic patient...