The impairment of small nerve fibers in severe sepsis and septic shock

Abstract Background A decrease of small nerve fibers in skin biopsies during the course of critical illness has been demonstrated recently. However, the diagnostic use of skin biopsies in sepsis and its time course is not known. Methods Patients (n=32) with severe sepsis or septic shock were examined using skin biopsies, neurological examination, nerve conduction studies, and sympathetic skin response in the first week after onset of sepsis, 2 weeks and 4 months later and compared to gender- and age-matched healthy controls. Results Skin biopsies at the ankle and thigh revealed a significant decrease of intraepidermal nerve fiber density (IENFD) during the first week of sepsis and 2 weeks later. All patients developed critical illness polyneuropathy (CIP) according to electrophysiological criteria and 11 showed IENFD values lower than the 0.05 quantile. Four patients were biopsied after 4 months and still showed decreased IENFD. Results of nerve conduction studies and IENFD did considerably change over time. No differences for survival time between patients with IEFND lower and larger than 3.5 fibers/mm were found. Conclusions Skin biopsy is able to detect an impairment of small sensory nerve fibers early in the course of sepsis. However, it may not be suited as a prognostic parameter for survival. Trial registration German Clinical Trials Register, DRKS-ID: DRKS00000642 , 12/17/2010

Tags
Data and Resources
To access the resources you must log in

This item has no data

Identity

Description: The Identity category includes attributes that support the identification of the resource.

Field Value
PID https://www.doi.org/10.6084/m9.figshare.c.3633581
PID https://www.doi.org/10.15496/publikation-16682
PID https://www.doi.org/10.6084/m9.figshare.c.3633581.v1
URL http://dx.doi.org/10.6084/m9.figshare.c.3633581
URL http://dx.doi.org/10.15496/publikation-16682
URL http://dx.doi.org/10.6084/m9.figshare.c.3633581.v1
Access Modality

Description: The Access Modality category includes attributes that report the modality of exploitation of the resource.

Field Value
Access Right Closed Access
Attribution

Description: Authorships and contributors

Field Value
Author Axer, Hubertus
Author Grimm, Alexander
Author Pausch, Christine
Author Teschner, Ulrike
Author Zinke, Jan
Author Eisenach, Sven
Author Beck, Sindy
Author Guntinas-Lichius, Orlando
Author Brunkhorst, Frank
Author Witte, Otto
Contributor University, My
Publishing

Description: Attributes about the publishing venue (e.g. journal) and deposit location (e.g. repository)

Field Value
Collected From Datacite
Hosted By figshare
Publication Date 2016-01-01
Publisher Figshare
Additional Info
Field Value
Language UNKNOWN
Resource Type Collection; Other ORP type
keyword FOS: Health sciences
keyword FOS: Biological sciences
keyword FOS: Earth and related environmental sciences
keyword FOS: Clinical medicine
system:type other
Management Info
Field Value
Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::bf8ac6ec43cddb8d1ee1179c14b553f5
Author jsonws_user
Last Updated 20 December 2020, 01:15 (CET)
Created 20 December 2020, 01:15 (CET)