As sepsis worsens or septic shock develops, an early sign, particularly in older people or the very young, may be confusion or decreased alertness. Blood pressure decreases, yet the skin is paradoxically warm. Later, extremities become cool and pale, with peripheral cyanosis and mottling.
Sepsis can develop quickly from initial infection and progress to septic shock in as little as 12 to 24 hours.1 You may have an infection that's not improving or you could even be sick without realizing it.
Sepsis can affect your mental status. Some people, especially the elderly, may not show typical signs of infection. Instead, they may show a sudden change in mental status, becoming confused, or a worsening of dementia and confusion. Sleepiness, often severe, is also a common complaint.
This can cause vital organs to shut down. This usually starts with the kidneys. Blood pressure can drop dangerously low. This can cause less oxygen and nutrients to reach your kidneys.
Unlike diseases or conditions like diabetes or kidney stones, there is no one test for sepsis testing. However, your doctor makes the diagnosis by evaluating your symptoms, your history, and other tests. This can then lead your doctor to suspect you have sepsis.
However, there might be other symptoms related to sepsis based on where the infection is. Abdominal pain is one such symptom.
Sepsis is known as the 'silent killer' because its symptoms often mimic that of other illnesses such as the flu or gastro. But, if it is identified and treated early, patients can recover.
Most sepsis is caused by bacterial infections, but it can also be caused by viral infections, such as COVID-19 or influenza; fungal infections; or noninfectious insults, such as traumatic injury.
Carson adds: "For adults, red flag symptoms can be someone in a confused state, possibly with slurred speech. They may be shivering and feel cold, but have a temperature and clammy, sweating skin. Heart rate can be raised, and blood pressure will be lower than normal. They may also have shortness of breath.
Sepsis patients typically present with symptoms of infection and organ dysfunction. Some symptoms of sepsis are easy to identify, such as fever and chills, productive cough, or dysuria. However, in some patients, particularly the elderly or immunocompromised, these symptoms might be vague or atypical.
In some cases, and often very quickly, severe sepsis or septic shock can develop. Symptoms include: feeling dizzy or faint. confusion or disorientation.
People with sepsis often develop a hemorrhagic rash—a cluster of tiny blood spots that look like pinpricks in the skin. If untreated, these gradually get bigger and begin to look like fresh bruises. These bruises then join together to form larger areas of purple skin damage and discoloration.
Signs of sepsis are: • Pale, blotchy or blue skin, lips or tongue. Blotchy skin is when parts of your skin are a different colour than normal. Sometimes it is hard to know if you or somebody you look after has sepsis, or if it is something else, like flu or a chest infection.
Sepsis may cause atypical blood clotting. The resulting small clots or burst blood vessels may damage or destroy tissues. Most people recover from mild sepsis, but the mortality rate for septic shock is about 30% to 40%. Also, an episode of severe sepsis raises the risk for future infections.
A – The public should also be aware of the signs and symptoms of sepsis – fast heart rate, fever or chills, nausea and vomiting, fatigue or weakness and blotchy or discoloured skin. Not all need to be present and some symptoms may be milder than others.
Sepsis needs treatment in hospital straight away because it can get worse quickly. You should get antibiotics within 1 hour of arriving at hospital. If sepsis is not treated early, it can turn into septic shock and cause your organs to fail.
severe muscle pain. severe breathlessness. less urine production than normal – for example, not urinating for a day. cold, clammy and pale or mottled skin.
The organs more frequently affected are kidneys, liver, lungs, heart, central nervous system, and hematologic system. This multiple organ failure is the hallmark of sepsis and determines patients' course from infection to recovery or death.
Other common sepsis symptoms include: Urinary issues, such as reduced urination or an urge to urinate. Low energy/weakness. Fast heart rate.
Some of the most frequently isolated bacteria in sepsis are Staphylococcus aureus (S. aureus), Streptococcus pyogenes (S. pyogenes), Klebsiella spp., Escherichia coli (E. coli), and Pseudomonas aeruginosa (P.
Stage one: Systemic Inflammatory Response Syndrome (SIRS)
Sepsis can be hard to identify, but is typically denoted by a very high or low body temperature, high heart rate, high respiratory rate, high or low white blood cell count and a known or suspected infection.
A person with sepsis might have one or more of the following signs or symptoms: High heart rate or weak pulse. Fever, shivering, or feeling very cold. Confusion or disorientation.
Many conditions mimic sepsis by meeting criteria for SIRS.
These conditions include: pulmonary embolism (PE), adrenal insufficiency, diabetic ketoacidosis (DKA), pancreatitis, anaphylaxis, bowel obstruction, hypovolemia, colitis, vasculitis, toxin ingestion/overdose/withdrawal, and medication effect.