What are physical findings suggestive of septic shock in coccidioidomycosis?

Updated: Aug 27, 2019
  • Author: Duane R Hospenthal, MD, PhD, FACP, FIDSA, FASTMH; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Septic shock generally develops in older individuals or immune-compromised patients. For example, patients with advanced HIV disease may present with a fulminant picture of respiratory failure, diffuse pneumonia, fungemia, and septic shock that resembles a gram-negative infection.

This condition is diagnosed on the basis of established criteria and hemodynamic monitoring. Cytokine assays reveal elevated levels of tumor necrosis factor (TNF) and interleukin-6, as in bacterial sepsis.


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