The American Journal of Tropical Medicine and Hygiene - Current Issue

Volume 104, Issue 1, January 2021
- Articles
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In-Hospital Death after Septic Shock Reversal: A Retrospective Analysis of In-Hospital Death among Septic Shock Survivors at Thailand’s Largest National Tertiary Referral Center
Pages: 395–402More LessAbstract.Advances in sepsis resuscitation have significantly improved shock control; however, many patients still die after septic shock reversal. We conducted a retrospective review to examine in-hospital death in whom shock was reversed and vasopressor was discontinued for 72 hours or longer. Factors independently associated with death were determined. Medical records of septic shock survivors from the medical intensive care unit of the Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, during January 2012–January 2019 were analyzed. A total of 350 septic shock patients were enrolled. Of these, 280 survived initial resuscitation. Eighty of 280 patients died, 45 died by 28 days (16.1%), and 35 (12.5%) died thereafter during their hospital stay. Multi-organ failure and hospital-acquired pneumonia (HAP) were the leading causes of death, followed by other infection and noninfectious complication. Although the death group had more laboratory derangement and required more organ support, there were four factors associated with mortality from multivariate analysis. Hospital-acquired pneumonia was the leading factor, followed by sequential organ failure assessment score and serum albumin at 72 hours after discontinuation of vasopressors, and total intravenous fluid during 72 hours after discontinuation of vasopressors. In-hospital mortality after hemodynamic restoration in patients with septic shock was substantial. Causes and contributing factors were identified. Measures to mitigate these risks would be beneficial for rendering more favorable patient outcomes.
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Case Report: Two Cases of Keratoconjunctivitis Tied to Sargassum Algae Emanations
Pages: 403–405More LessAbstract.Since 2011, considerable amounts of Sargassum algae regularly end up on beaches in the Gulf of Mexico, the Caribbean, and in the French overseas departments. We report observations of two bilateral keratoconjunctivitis associated with important functional symptomatology. There was a conjunctival hyperemia and superficial punctate keratitis. The ocular impairment would repeat at every algae ashore landing. Clinical examination, history, and time line of symptomatology onset allowed us to eliminate the classic etiologies of bilateral keratoconjunctivitis and to suggest an irritant toxic origin tied to hydrogen sulfide. This is the first description of ocular impairment tied to Sargassum algae decomposition. Their decomposition, through H2S emission, can be at the origin of bilateral keratoconjunctivitis. Ocular impairment is often at the forefront of complaints made by individuals exposed to H2S.
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Volumes & issues
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Volume 104 (2021)
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Volume 103 (2020)
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Volume 102 (2020)
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Volume 101 (2019)
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Volume 100 (2019)
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Volume 99 (2018)
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Volume 98 (2018)
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Volume 97 (2017)
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Volume 96 (2017)
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Volume 95 ([2016, 2017])
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Volume 94 (2016)
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Volume 93 (2015)
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Volume 92 (2015)
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Volume 91 (2014)
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Volume 90 (2014)
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Volume 89 (2013)
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Volume 88 (2013)
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Volume 87 (2012)
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Volume 86 (2012)
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Volume 85 (2011)
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Volume 84 (2011)
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Volume 83 (2010)
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Volume 82 (2010)
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Volume 81 (2009)
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Volume 80 (2009)
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Volume 79 (2008)
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Volume 78 (2008)
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Volume 77 (2007)
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Volume 76 (2007)
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Volume 75 (2006)
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Volume 74 (2006)
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Volume 73 (2005)
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Volume 72 (2005)
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Volume 71 (2004)
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Volume 70 (2004)
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Volume 69 (2003)
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Volume 68 (2003)
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Volume 67 (2002)
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Volume 66 (2002)
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Volume 65 (2001)
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Volume 64 (2001)
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Volume 63 (2000)
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Volume 62 (2000)
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Volume 61 (1999)
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Volume 60 (1999)
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Volume 59 (1998)
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Volume 58 (1998)
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Volume 57 (1997)
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Volume 56 (1997)
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Volume 55 (1996)
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Volume 54 (1996)
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Volume 53 (1995)
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Volume 52 (1995)
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Volume 51 (1994)
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Volume 50 (1994)
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Volume 49 (1993)
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Volume 48 (1993)
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Volume 47 (1992)
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Volume 46 (1992)
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Volume 45 (1991)
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Volume 44 (1991)
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Volume 43 (1990)
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Volume 42 (1990)
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Volume 41 (1989)
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Volume 40 (1989)
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Volume 39 (1988)
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Volume 38 (1988)
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Volume 37 (1987)
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Volume 36 (1987)
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Volume 35 (1986)
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Volume 34 (1985)
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Volume 33 (1984)
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Volume 32 (1983)
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Volume 31 (1982)
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Volume 30 (1981)
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Volume 29 (1980)
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Volume 28 (1979)
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Volume 27 (1978)
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Volume 26 (1977)
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Volume 25 (1976)
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Volume 24 (1975)
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Volume 23 (1974)
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Volume 22 (1973)
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Volume 21 (1972)
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Volume 19 (1970)
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Volume 18 (1969)
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Volume 17 (1968)
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Volume 15 (1966)
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Volume 14 (1965)
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Volume 10 (1961)
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Volume 7 (1958)
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Volume 6 (1957)
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Volume 5 (1956)
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Volume 2 (1953)
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Volume 1 (1952)
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Volume s1-31 (1951)
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Volume s1-30 (1950)
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Volume s1-1 (1921)