Evaluation of C-reactive protein, procalcitonin, tumor necrosis factor alpha, interleukin-6, and interleukin-8 as diagnostic parameters in sepsis-related fatalities.

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Serval ID
serval:BIB_6D224F8EC557
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Evaluation of C-reactive protein, procalcitonin, tumor necrosis factor alpha, interleukin-6, and interleukin-8 as diagnostic parameters in sepsis-related fatalities.
Journal
International Journal of Legal Medicine
Author(s)
Schrag B., Roux-Lombard P., Schneiter D., Vaucher P., Mangin P., Palmiere C.
ISSN
1437-1596 (Electronic)
ISSN-L
0937-9827
Publication state
Published
Issued date
2012
Volume
126
Number
4
Pages
505-512
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The aims of this study were to investigate the usefulness of serum C-reactive protein, procalcitonin, tumor necrosis factor alpha, interleukin-6, and interleukin-8 as postmortem markers of sepsis and to compare C-reactive protein and procalcitonin values in serum, vitreous humor, and cerebrospinal fluid in a series of sepsis cases and control subjects, in order to determine whether these measurements may be employed for the postmortem diagnosis of sepsis. Two study groups were formed, a sepsis group (eight subjects coming from the intensive care unit of two university hospitals, with a clinical diagnosis of sepsis in vivo) and control group (ten autopsy cases admitted to two university medicolegal centers, deceased from natural and unnatural causes, without elements to presume an underlying sepsis as the cause of death). Serum C-reactive protein and procalcitonin concentrations were significantly different between sepsis cases and control cases, whereas serum tumor necrosis factor alpha, interleukin-6, and interleukin-8 values were not significantly different between the two groups, suggesting that measurement of interleukin-6, interleukin-8, and tumor necrosis factor alpha is non-optimal for postmortem discrimination of cases with sepsis. In the sepsis group, vitreous procalcitonin was detectable in seven out of eight cases. In the control group, vitreous procalcitonin was clearly detectable only in one case, which also showed an increase of all markers in serum and for which the cause of death was myocardial infarction associated with multi-organic failure. According to the results of this study, the determination of vitreous procalcitonin may be an alternative to the serum procalcitonin for the postmortem diagnosis of sepsis.
Keywords
Adolescent, Adult, Aged, Biological Markers/metabolism, C-Reactive Protein/metabolism, Calcitonin/metabolism, Case-Control Studies, Child, Child, Preschool, Female, Forensic Pathology, Humans, Interleukin-6/metabolism, Interleukin-8/metabolism, Male, Middle Aged, Protein Precursors/metabolism, Sepsis/diagnosis, Sepsis/metabolism, Tumor Necrosis Factor-alpha/metabolism, Vitreous Body/metabolism, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
09/03/2012 14:23
Last modification date
01/10/2019 6:18
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