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Ljiljana Pejcic, Speaker at Pediatrics Conferences
University of Nis, Serbia, Romania


Septic shock is a serious, life-threatening condition often associated with multiple organ dysfunctions. The incidence of myocardial dysfunction in sepsis is unknown as well as its impact on survival, independently other organ system dysfunction. Case report: Adolescent aged 15 years with clinical signs of septic shock was admitted to the Intensive Care Unit. The previous five days he has occasionally hyperthermia and complained of dry cough and diarrhea. In laboratory investigations dominate leukocytosis, thrombocytopenia, very high parameters of inflammation, and moderately elevated levels of nitrogen products, hypoalbuminemia, hypoproteinemia and metabolic acidosis. After initial therapy of septic shock, patient was still haemodynamically unstable with significant signs of myocardial dysfunction. Transthoracic echocardiography showed left ventricular dysfunction (FS = 18%), with mitral regurgitation 1+, tricuspid regurgitation 2+ and pericardial effusion. We continued with intensive inotropic stimulation, antibiotics, corticosteroids and correction of metabolic disorders. During further hospitalization clinical and laboratory recovery were a significant, but with long-term maintenance depending on inotropes. After two weeks the boy was discharged home with regular clinical and echocardiographic findings.


Ljiljana Pejcic has over 30 years in medical clinical practice and experience in clinical research. In 1992 she finished the specialization in pediatrics with grade excellent at Faculty of Medicine, University of Nis and since then has been working and gaining extensive experience in pediatric cardiology. She is particularly skillful in echocardiography, ergometry and 24 h ECG Holter monitoring analysis. As a noninvasive pediatric cardiologist she is especially interested in the field of preventive cardiology. She is member of some very reputable professional organizations. In 2007 she gained the degree of Professor of Pediatrics at the Faculty of Medicine, University of Nis. To date she has published over 15 scientific papers on pediatrics, mainly in recognized international journals.