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Causes

By Mayo Clinic staff

Inflammation is one of the weapons your immune system uses to fight infections. Normally, a delicate balance of chemical signals starts and then stops the inflammatory process. In sepsis, however, the process becomes exaggerated. Inflammation extends beyond the infection site and affects your whole body.

This widespread inflammation prompts the formation of microscopic clots in tiny blood vessels throughout the body. At the same time, the overactive inflammatory response interferes with your body's natural ability to break down blood clots.

As a result, even as the heart works harder to pump blood, the clots prevent enough oxygen from reaching your organs — causing them to fail.

References
  1. Neviere R. Sepsis and the systemic inflammatory response syndrome: Definitions, epidemiology and prognosis. http://uptodate.com/home/index.html. Accessed April 27, 2009.
  2. Shapiro NI, et al. Sepsis syndromes. In: Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa.: Mosby Elsevier; 2006. http://www.mdconsult.com/das/book/body/133981928-3/0/1365/424.html#4-u1.0-B0-323-02845-4..50141-4--cesec18_7402. Accessed April 27, 2009.
  3. Enrione MA, et al. Sepsis, septic shock and systemic inflammatory response syndrome. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/133981928-3/0/1608/514.html#4-u1.0-B978-1-4160-2450-7..50178-X--cesec6_4006. Accessed April 27, 2009.
  4. Neviere R. Pathophysiology of sepsis. http://www.uptodate.com/home/index.html. Accessed April 27, 2009.
  5. Rivers EP, et al. Improving outcomes for severe sepsis and septic shock: Tools for Early identification of at-risk patients and treatment protocol implementation. Critical Care Clinics. 2008;23:S1.
  6. Chest X-ray. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=chestrad. Accessed April 29, 2009.
  7. CT: Body. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?pg=bodyct. Accessed April 29, 2009.
  8. Abdominal ultrasound. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=abdominus. Accessed April 29, 2009.
  9. MRI of the spine. Radiological Society of North America.  http://www.radiologyinfo.org/en/info.cfm?PG=spinemr. Accessed April 29, 2009.
  10. Schmidt GA, et al. Management of severe sepsis and septic shock in adults. http://www.uptodate.com/home/index.html. Accessed April 29, 2009.

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July 24, 2009

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