57-year-old with Multi Organ Failure saved in the nick of time
~ Treated by Dr. Anand Mishra Sr. Consultant Physician, Hiranandani
Hospital, Vashi – A Fortis Network Hospital ~
By Dinesh Kamath
NAVI MUMBAI: Normally to save the trouble of visiting a
doctor or sometimes we find it too small a concern that we tend to take matters
in our own hands. Something similar happened to a 57 year old male, who works
at a private firm in Patal Ganga, Navi Mumbai, when he spotted an inflammation
on his right ankle. Instead of visiting the doctor, he cut it with a blade,
without knowing what was to happen. Few days later, the patient experienced
breathlessness and was taken to a hospital adjacent to his workplace, where he
was diagnosed with severe Septicemia (infection of the blood) and it was
assumed that he was experiencing a cardiac issue for which the patient required
immediate medical attention. But as the hospital was not equipped to manage
such a critically ill patient, he was transferred to Hiranandani Hospital,
Vashi – A Fortis Network Hospital, under the care of Dr Anand Mishra, Sr.
Consultant Physician.
Upon being admitted, detailed investigations was
carried out, including a sonography of the leg which revealed that pus had
accumulated into the wound and if not operated immediately, the patient could
suffer Multi Organ Failure. Incision of the wound and drainage of the pus was
carried out where the patient was on a ventilator and his blood pressure was
being maintained by medication. Around 200-300ml of frank pus was removed from
the ankle. If not for the timely diagnosis, the patient could have deteriorated
further.
Speaking about the case, Dr. Anand Mishra, Sr.
Consultant Physician, Hiranandani Hospital, Vashi said, “People need to
understand the intensity of their actions, self-medication can be life-threatening,
consulting a physician, is of utmost importance. Patients with septic shock and
multi organ failure need immediate timely medical intervention, which in this
case was delayed by 2 weeks! Self-medication is dangerous; it could lead to
multi organ failure”.
The patient has since been discharged and has
recovered from initial shock. He is required to visit the hospital on
alternative days for cleaning and dressing of the wound as well as IV
administration. He is currently on a course of antibiotics and has been
strictly warned to avoid over the counter medications and self-administration
of any medicines. There are no long term concerns, as long as he follows the
instructions given by the doctors, informed the doctor.
About Multi Organ Failure: Is usually triggered
by an infection, which can spread in a matter of time from one organ to another
like in this case; it started from the leg injury and slowly over a period of
time affected the patient's lungs and kidney. Also patients with Diabetes,
Hypertension.
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