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Table 1 Comparison between the two cases

From: Ischemic necrosis of the tongue in surgical patients with septic shock: a case report

 

Patient 1

Patient 2

Age (years)

88

80

Gender

Male

Female

Clinical presentation

Septic shock

Septic shock

Intraoperative diagnosis

Ischemic necrosis of the colon

Ischemic necrosis of the ileum

Operation

Total colectomy

Segmental resection of the ileum

Possible cause of mesenteric ischemia

unknown

femoral herniation of ileum

Length of vasopressor treatmenta (days)

3

until death

Length of mechanical ventilationa (days)

5

until death

Length of CRRTa (days)

until death

until death

Maximum dose of norepinephrine (μg/kg/min)

0.5

2

Maximum dose of epinephrine (μg/kg/min)

0.05

0.5

Coagulation profileb

 Antithrombin III (%)

28

13

 Fibrinogen (mg/ml)

201

97

 FDP (μg/ml)

8.6

18.7

SOFA score at ICU admissionb

13

16

 Respiratory (PaO2/FiO2)

200

150

 Coagulation (Platelet, × 103/μL)

80

40

 Liver (Total bilirubin, mg/dL)

1.6

3.4

 Dose of norepinephrine (μg/kg/min)

0.5

1

 Glasgow Coma Scale score

13

13

 Renal system (Creatinine, mg/dL)

2.7

3.6

Blood culture testb

Candida species

none

Time to enteral feeding

5th POD

none

Time to necrosis of the tongue

7th POD

8th POD

Pressure on the tongue from endotracheal tube

none

suspicious

Concomitant signs of other organ hypoperfusion

none

Lower limb

Outcome

Died on the 12nd POD

Died on the 10th POD

  1. CRRT continuous renal replacement therapy, FDP fibrin-degradation product, SOFA Sepsis-Related Organ Failure Assessment Score, ICU intensive care unit, POD post-operative day
  2. aincludes both the day of operation and the day of complete cessation
  3. bchecked immediately after the operation