Archives of Medical and Clinical Case Studies
Clinical Presentation of Bacteremia in Anorexia Nervosa
Kristin Sterrett1,2, Leah Puckett1,2, Ashlie Watters1,2, David Wyles2,3, Philip S. Mehler1,2,3,4 and Dennis Gibson1,2*
1ACUTE Center for Eating Disorders and Severe Malnutrition at Denver Health, Denver, USA
2Department of Medicine, University of Colorado School of Medicine, Aurora, USA
3Department of Infectious Disease at Denver Health, Denver, USA
4Eating Recovery Center, Denver, USA
*Corresponding author: Dennis Gibson, ACUTE Center for Eating Disorders and Severe Malnutrition at Denver Health, Denver, USA and Department of Medicine, University of Colorado School of Medicine, Aurora, USA
Received Date: October 16, 2023; Accepted date: October 26, 2024; Published Date: October 31, 2023
Abstract
Objective: To better understand the presentation of bacteremia in patients with anorexia nervosa (AN).
Method: In this retrospective study, 10 patients with AN and bacteremia were compared to 10 AN patients without bacteremia.
Results: Patients with bacteremia had significantly elevated tachycardia and fever compared to the control group but respiratory rate, white blood cell count, and blood pressure remained similar between the two groups.
Systemic inflammatory response syndrome criteria (SIRS) and quick sequential organ failure assessment (qSOFA) were not useful tools in predicting severe infection in the studied population.
Conclusions: Patients with AN may not manifest the typical physiologic changes associated with a severe infection, and current scoring assessments may be unhelpful in clinical decision-making.
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