Urosepsis: A simple infection turns toxic
Forty-five minutes later, Mr. H's vitals were: temperature, 103.2° F (39.6° C); heart rate, 132 beats/minute; respiratory rate, 28 breaths/minute; and BP, 80/50 mm Hg. His physical exam was significant for lethargy, dry mucous membranes, costovertebral angle tenderness, and mottling bilaterally up to his knees. His lab tests included a white blood cell count of 1,000/mm3 and lactic acid of 4.3 mmol/L. Mr. H was diagnosed with urosepsis and needed prompt interventions to avoid further hemodynamic compromise.