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177
Simple Blood Test Indicating Sepsis Relapse: A Case Report
Barbara Wójcik1, Jerzy Superata1, Zbigniew Szyguła2
1Department of Clinical Rehabilitation, University of Physical Education in Krakow, Krakow, POL.
Cureus
|November 29, 2023
Summary
Early detection of sepsis relapse is crucial. Microscopic blood analysis, combined with lab tests, predicted relapse four days before clinical signs in a sepsis survivor, highlighting its value.
Area of Science:
- Hematology
- Microbiology
- Clinical Pathology
Background:
- Delayed sepsis diagnosis and management increase mortality.
- Routine blood tests at hospital discharge may not detect subtle post-sepsis changes.
- Sepsis survivors require continued monitoring for potential relapse.
Observation:
- Dramatic hematological alterations were observed in a sepsis survivor's blood.
- Microscope images revealed significant morphological changes in blood cells.
- Multiparameter laboratory tests complemented the microscopic findings.
Findings:
- The combination of blood smear analysis and laboratory results predicted sepsis relapse.
- Relapse was anticipated four days prior to clinical manifestation.
- This integrated approach offers a novel method for early sepsis relapse detection.
Implications:
- Encourages the re-introduction of blood smear analysis as an adjunctive diagnostic tool.
- Highlights the importance of detailed hematological assessment in sepsis survivors.
- Suggests a potential improvement in sepsis management and patient outcomes through early relapse prediction.

