Sepsis is a very common diagnosis in neonatology. However, today was a first in my sepsis experience.
As I was checking in at 8AM on the neonates in the intensive care unit, everything was fine. They were all stable. Then, minutes later, a previously healthy two week old changed on a dime.
The heart rate went from 130 to 220 in seconds. The respiratory rate went from 30 to 90 just as quickly and the blood pressure plummeted. This was a run of the mill septic child, but I had never seen a transition from good to bad so quickly.
After fluids and some antibiotics, he improved. Within hours, the blood culture grew a large number of bacteria.
He is now back to normal and I expect him to make a full recovery.