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Sepsis

Symptoms of sepsis

Sepsis can cause a variety of symptoms.

Sepsis symptoms in children under 5

Temperature

  • over 38C (babies under 3 months)
  • over 39C (babies aged 3 to 6 months)
  • below 36C – check 3 times in a 10-minute period
  • a high temperature in a child who can’t be encouraged to show interest in anything

Breathing

  • difficulty breathing – this looks like hard work
  • grunting with every breath
  • struggling to speak more than a few words at once (for older children who normally talk)
  • breathing that obviously "pauses"

Eating and drinking

  • no interest in feeding (child under 1 month)
  • not drinking for more than 8 hours (when awake)
  • black, green or bloody vomit

Body

  • a soft spot on a baby's head that bulges
  • “sunken” eyes
  • a baby that’s floppy
  • a child that can’t be encouraged to show interest in anything
  • weak, whining or continuous crying in a younger child
  • confusion in an older child
  • irritableness
  • unresponsive
  • stiffness in the neck, especially when trying to look up or down
  • not had a wee or wet nappy for 12 hours

Sepsis symptoms in older children and adults

Early symptoms of sepsis may include:

  • a high temperature (fever) or low body temperature
  • chills and shivering
  • a fast heartbeat
  • fast breathing

Symptoms of severe sepsis or septic shock

In some cases, symptoms of more severe sepsis or septic shock (when your blood pressure drops to a dangerously low level) develop.

These can include:

  • feeling dizzy or faint
  • a change in mental state – like confusion or disorientation
  • diarrhoea
  • nausea and vomiting
  • slurred speech
  • severe muscle pain
  • severe breathlessness
  • less urine production than normal – for example, not urinating for a day
  • cold, clammy and pale or mottled skin
  • loss of consciousness