Stroke associated infections

Yesterday, we discussed the situation of an elderly patient with dysphagia and right hemiparesis due to a third media stroke developing fever. We stressed that

  • Not every elevated temperature is fever
  • Not every fever means infection
  • Not every infection in stroke is aspiration or UTI

We mentioned the peculiarities of stroke-induced immunosuppression with highly reagible yet insufficient nonspecific immune reactions. Then we came to the core of the topic, namely the difference between stroke-associated pulmonary disease and aspiration pneumonia, developing criteria to be used in our local “Weissbuch” – the stroke manual of the Zentralklinikum Augsburg.

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