Septicemia

Integrated Summary

Patient was diagnosed with liver abscess and septicemia with uncontrolled fever since 15 days. Her complaints are not under control even with antibiotics, antipyretics and anti-fungal medications. So she took discharge against Medical advice and approached our hospital. She was under anti-diabetic (Insulin & Oral anti DM) & anti hypertensive medication.

Allopathy	Ayurveda
GC: Poor P+ E++ N0 C0 I0 L0	Prakriti: Pitta Kapha
GENERAL FINDINGS: • BP- 160/100 mm of hg • Pulse: 72 beats /min • Temperature 1000 F • Appetite: Poor • Micturition Reddish (increased frequency) • Bowels: Constipated • Sleep: disturbed	DIAGNOSIS: • Jwara • Yakritroga, • Janushoola
CLINICAL EXAMINATION: •PA: Soft, hepatomegaly •CNS: NAD CVS: S1, S2 heard RS: NVBS • Foot Examination • Oedema in right foot 24.5 cm (Pitting) • Oedema in left foot 25 cm (Pitting) • Knee joint examination • Tenderness ++(Bilateral) • Swelling- present • Rom- Restricted in flexion • Gait- With Support	Internal medications 1. RasnadiKashayam 3 tsp+9 tsp water twice daily on empty stomach(6.30 am,6.30 pm) 2. Vasaguluchyadikashayam 3tsp+9 tsp water twice daily before food(11.30 am,7.30 pm) 3. Nishamalakichoornam 1 tsp with hot water 4. Yogarajaguggulu 1-1-1 after food 5. KalyanakaGhirta- 1tsf at bed time 6. Liv 52-1-0-1 after food
LABORATORY INVESTIGATIONS: CT thorax: Bilateral basal pleural effusion Cardiomegaly with evolving hepatic abscess in left lobe TSH 7.81mc IU/mL RBS 281 mg/dL Sputum c/s- candida albicans grown USG- Mild cystitis Widal Test-Positive	External medications 1. Balashwagandhadi +Murivenna for external application 1 hr before bath 2. Recopain for local application at bedtime

Outcome

Date	Temperature	Blood sugar (FBS-mg/dl)	Blood sugar (PPBS-mg/dl)	Blood pressure (mmHg)
22/08/14 (Admission)	1000F	181 (RBS) (with T.Glynase)	-	160/100 (with T.Losar)
23/08/14	990F	161	241	160/90
26/08/14	96.30F	156	171	130/80
30/08/14	960F	147	194	130/90
2/09/14 (Discharge)	960F	190(without medication)	246(without medication)	130/90 (without medication)

Conclusion

Ayurveda offers effective management for acute infections like septicemia.

Septicemia

Brief Medical History

Integrated Summary

Outcome

Conclusion