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Febrile Delirium and Wound Infection in 87-Year-Old Female: A Case Study

This case study examines an 87-year-old female presenting with fever, delirium, rapid breathing, and a significant wound with pus and a red line. Key inquiries addressed include the duration and cause of the wound, medication history, fever duration, pain levels, and urinary/bowel output. Our differential diagnoses included septicemia with lymphangitis, MRSA infection, toxic shock syndrome, urinary tract infection, and pneumonia. Lab tests such as CBC, CMP, ABG, wound culture, and urinalysis were conducted, leading to a definitive diagnosis of septicemia.

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Febrile Delirium and Wound Infection in 87-Year-Old Female: A Case Study

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  1. Case Study One Table # 4

  2. Anola Jean Brown • 87 year-old female • Febrile • Delirious • Breathing rapidly • Wound (pus and red line)

  3. Questions • How long have you had the wound? • How did you acquire the wound? • Are you currently taking any medications? • Has the wound been treated medically? • How long have you had the fever? • Are you having any pain? Severe or mild? • Have you been having regular urine and bowel output? • Are you having any painful urination?

  4. Hypothesis With the information given we have hypothesized that the differential diagnosis would be Septicemia coupled with Lymphangitis. Septicemia photo from www.zambon.es Lymphangitis photo from www.cdc.gov

  5. Differential Diagnosis • Septicemia coupled with Lymphangitis • Nosocomial infection / MRSA • Toxic Shock Syndrome • UTI (Urinary Tract Infection) • Pneumonia

  6. Lab Test • CMP (Complete Metabolic Profile) • CBC (Complete Blood Count) • ABG (Arterial Blood Gas) • Wound Culture • Blood Test for Liver and Kidney Functions • Chest X-Ray • UA (Urinalysis) and Urine Culture

  7. Outcome We support our differential diagnosis of Septicemia making it our definitive diagnosis.

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