Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Jul 2002
Case Reports[Fulminant mediastinitis from Streptococcus pneumoniae following cardiac surgery].
A 62-year-old patient was scheduled for coronary artery bypass surgery because of tritroncular coronary artery disease. The early postoperative period was uncomplicated until the 10th postoperative day when purulent fluid appeared from the sternal wound. ⋯ Despite prompt surgical debridement and appropriate antibiotics, a septic shock with multiorgan failure occurred and the patient died on the 19th postoperative day. Although Streptococcus pneumoniae is uncommonly implicated in postoperative mediatinitis, it frequently leads to multiple organ failure and death.
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Ann Fr Anesth Reanim · Jul 2002
Case Reports[Severe retrosacral hemorrhage without bone injury following defenestration].
We describe the case of original haemorrhagic shock after a 22-year-old woman suicidal jumping. The first radiological evaluation showed only a non-bleeding fracture of the first lumbar vertebra (CT-scan) and a calcaneum fracture. Pelvic ring was normal. ⋯ The early diagnosis was difficult because of the vertebral fracture that constrained strict dorsal position. We could not see the important haematoma without moving the patient. We have not found any description of a severe haemorrhagic shock secondary to a single blunt gluteal muscle.