Hi,
It is painful to read about your uncle.
Your uncle has severe form of infection with shock.
The infection may be -
- Bacterial infection.
- Viral infection like Dengue fever with shock.
-
Parasitic infection like malaria.
There is a need for-
- Investigation to know underlying cause and effect of infection on various organs of body.
- Antibiotic treatment with broad spectrum antibiotics.
- Maitainace of adequate blood pressure for body perfusion.
It may require inotropic support.
- Monitoring of vital organ function: hourly monitoring of urine out put,
Heart rate, blood pressure, blood sugar, bleeding, level of consciousness.
In such cases following investigations may be advisable -
-
Complete Blood Count.
- Renal function test - urea,
creatinine, electrolytes.
- Liver function test.
-
Blood culture and sensitivity testing.
- Urine examination including culture and sensitivity testing.
- Dengue NS 1, IgG & IgM.
- Peripheral Smear For Malerial Parasite.
- Leptospira IgG & IgM.
-
Ultrasonography of abdomen and pelvis.
- Coagulation profile.
- Serum Procalcitinin.
- Chest X-ray.
Depending upon clinical evaluation and above test results there may be need for -
- Brain imaging like CT in case of suspected
meningitis.
- CT scan of abdomen and pelvis or Thorax in case of suspected abdominal (urinary or gastrointestinal sepsis) or lung infections .
- CSF study in case of suspected meningitis.
Hope this helps you.