Hypoglycemia as a manifestation of sepsis

Samuel I. Miller, Richard J. Wallace, Daniel M. Musher, Edward J. Septimus, Steve Kohl, Robert E. Baughn

Research output: Contribution to journalArticlepeer-review

Abstract

Hypoglycemia has rarely been described as a clinical sign of severe bacterial sepsis. We recently encountered nine patients in whom hypoglycemia (mean serum glucose of 22 mg/dl) was associated with overwhelming sepsis. Clinical disease in these patients included pneumonia and cellulitis; in three patients, no focus of infection was apparent. Altered mental status, metabolic acidosis, leukopenia, abnormal clotting studies and bacteremia were common features in these cases. In four patients, no cause for hypoglycemia other than sepsis was present. In five patients, another possible metabolic cause for hypoglycemia was present (alcoholism in four and chronic renal insufficiency in one) although none had been observed to be hypoglycemic on previous hospitalizations. Streptococcus pneumoniae (three cases) and Hemophilus influenzae, type b, (two cases) were the most common pathogens, and the over-all mortality was 67 per cent. The mechanism(s) for hypoglycemia with sepsis is not well defined. Depleted glycogen stores, impaired gluconeogenesis and increased peripheral glucose utilization may all be contributing factors. Incubation of bacteria in fresh blood at room temperature does not increase the normal rate of breakdown of glucose suggesting that the hypoglycemia occurs in vivo. Hypoglycemia is an important sign of overwhelming sepsis that may be more common than has previously been recognized.

Original languageEnglish (US)
Pages (from-to)649-654
Number of pages6
JournalThe American journal of medicine
Volume68
Issue number5
DOIs
StatePublished - May 1980

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint

Dive into the research topics of 'Hypoglycemia as a manifestation of sepsis'. Together they form a unique fingerprint.

Cite this