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A Common Complication of Septicemia in Cirrhosis

Olivier Nouel, MD; Jacques Bernuau, MD; Bernard Rueff, MD; Jean-Pierre Benhamou, MD

Arch Intern Med. 1981;141(11):1477-1478.

Abstract
Asymptomatic hypoglycemia was demonstrated in 15 of 30 cirrhotic patients with septicemia. Blood glucose levels were measured daily in these patients. Severe circulatory failure was present in the 15 patients with hypoglycemia and was absent in the 15 patients with normal blood glucose levels. Hypoglycemia is a common complication of septic shock in patients with cirrhosis, and blood glucose levels should be systematically measured in cirrhotic patients with septicemia or shock. Septicemia should be considered in any cirrhotic patient with a low blood glucose level.

(Arch Intern Med 1981;141:1477-1478)

Author Affiliations
From the Unite de Recherches de Physiopathologie Hépatique (INSERM), Hôpital Beaujon, Clichy, France.

Footnotes
Accepted for publication Sept 29, 1980.

Reprint requests to Hôpital Beaujon, Clichy 92118, France (Dr Benhamou).

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