http://www.javno.com/en/lifestyle/clanak.php?id=227173

MARIANA BRIDI DA COSTA After Amputation, Miss Brazil Bridi Is Critical A misdiagnosis, septicaemia, hands and feet amputation – as if this was not enough, Mariana is fighting for her life.

After she had her limbs amputated, Mariana Bridi da Costa is still critical.

- We are afraid for her life – Mariana`s father told the Folha de S. Paulo daily.

The 20-year-old Brazilian model and finalist of the Miss World beauty pageant suffered a urinary infection, after which septicaemia cut off her circulation to the limbs. Doctors at the hospital in Serra, Espirito Santo, were forced to amputate both of her hands and feet.

The family of the unfortunate beauty is worried, although it was announced on her website that she was stable.

Mariana`s boyfriend Thiago Simoes told G1 that she fell ill in December, but was misdiagnosed with kidney stones. It is only that additional tests determined she was infected with the Pseudomonas aeruginosa bacteria.

Seeing how the infection spread swiftly, Bridi decided to have more test and the surgeons were forced to amputate the damaged hands and feet in order to stop the infection from spreading, news.com.au writes.

Miss Brazil Has Her Hands And Feet Amputated

My prayers go out to her.

damn shame, she was hot

Sad, the miracle of free health care

She's not hot anymore?




 

I guess all the good doctors in Brazil moved to America.

Ouch.  Septicemia is a baaad thing.

I hope she survives; people who get that sick usually don't.  

Girls, now you know why you need to pee after sex.

Brazilian Miss World finalist Mariana Bridi has hands, feet amputated after severe infection
BY TRACY MILLER
DAILY NEWS STAFF WRITER

Updated Thursday, January 22nd 2009, 10:01 PM


Bastos/EPA

Brazilian model Mariana Bridi, 20, has lost both of her hands and feet due to a blood infection.
A two-time Miss World finalist has had both of her hands and feet amputated due to a life-threatening infection.

Mariana Bridi of Brazil underwent emergency surgery this week after a viral infection spread to her blood. She remains in serious condition.

The 20-year-old model fell ill on December 30, her boyfriend, Thiago Simoes, told the U.K.'s Daily Mail newspaper. She was first told she had a kidney stone and sent home from the hospital.

Two days later the Brazilian beauty was back in the hospital in the southeast Brazil town of Serra. Doctors found she was losing circulation in her hands and feet due to an infection caused by the pseudomonas aeruginosa bacteria. They were first forced to amputate her feet; then, this past Tuesday, her hands.

After those surgeries, she suffered an internal haemorrhage and had another emergency operation on Wednesday afternoon, the Daily Mail reported. Bridi is still very ill and waiting on a transfusion of the hard-to-match blood type O-negative.

Bridi is a two-time finalist in the search for Brazil's Miss World contestant in 2006 and 2007. She also represented Brazil in the 2007 Miss Bikini International competition, taking sixth place and an award for Most Beautiful Body.

"We are all absolutely distraught and are just praying now that she can pull through," her boyfriend said.

A Brooklyn woman underwent a similar nightmare when she went to the Brooklyn Hospital Center’s emergency room in September complaining of pain.

Doctors diagnosed Tabitha Mullings with having a kidney stone, prescribed medication and sent her home.

A day later Mullings returned to the hospital, where the sepsis infection became not only obvious but full-blown. The 32-year-old went into a coma that lasted two weeks.

Eventually, doctors were forced to amputate both her feet and hands. The infection also rendered her blind in her right eye.

She is suing the hospital.

My ex girlfriend, senior year of high school ended up with meningococcal meningitis. By the end of it she lost both arms mid forearm and legs below her knee. She ended up with kidney failure as well but did recieve a transplant after about a year on dialysis. That was a rough situation.
Post 1776 - FUCK OBAMA.

+1 on that,
And makes you wonder about the quality of health care in brazil ? Big difference between kidney stones and urinary infection...

The cascade could have started anywhere, from the way the specimen was collected to how it was handled in the lab. Assuming they even did a culture to being with.

I wonder if she aquired the infection in the hospital, it's a very common nosacomial infection. If a cath was inserted when she was being diagnosed the infection could have started there. My "roommate" was diagnosed with a kidney stone but it's really a disk in her back. Not really anyones fault, further investigation found the problem. I am willing to be they don't persue far in socialist medicine.

Why does one article say she had a viral infection that spread to her blood, then go on to name a bacterial causative organism?

ETA that sucks.

That's horrible.

I hope she stumps for better due diligence in health care.

Overwhelming gram negative sepsis is ugly... and until you've seen how bad it can get, it's hard to appreciate.

You can survive it, but people are frequently never the same afterwards.

Quad amputation seems like jumping the gun. Seen some real bad sepsis, but they never did that. Almost Medieval.

My 4-month old had a missed UTI.  Nothing showed up on the culture so they weren't sure what they were dealing with but admitted her and started IV antibiotics and wanted to wait for the 72-hour culture.  It was THAT culture that showed the UTI.  

I don't know how an adult misses a UTI though.  They're pretty damn obvious and symptoms are similar across the board.  

Sad story, at any rate.  I don't blame the country she was in because right her in the good ol' US of A one woman died when her epidural medication was injected into her IV during birth and another had both arms and legs amputated after an infection contracted during her c-section.  Imagine having a newborn and not being able to hold and care for them.  

It can happen anywhere and saying that is NOT excusing it because it SHOULDN'T happen anywhere.  A little more care taken by the health care providers would have gone a long way in preventing all of the above.

I see what you did there.

My guess is that she started experiencing DIC (disseminated intravascular coagulation), it blocked circulation to her extremities (which is a common outcome), the tissues died, and amputation was necessary because she became gangrenous. Medically necessary, not medieval in the slightest.

This.



Black hands + feet = gone.

Celebrateth thy post number

Can't believe I missed my post count, I was saving that one for a fuck obama thread too.

+1.  Endotoxin-mediated DIC is commonly seen with gram-negative sepsis.

Other gram-negative infections can do this too, including Vibrio sp., Meningococcus, and others.  Meningococcus in particular is very rapidly fatal if not treated early and aggressively (and a big percentage still die), which is why it's one of the most feared infections of childhood.  Unlike some others, meningococcemia isn't a slow-burner... you go from live-to-dead in less than a day.

I've seen this happen with all sorts of gram-negative bugs, including plain old garden-variety E. coli.

Lots of Pseudomonas is drug resistant to boot...

Just to clarify this for anyone who's interested - not all cases of sepsis are equivalent. "Gram" refers to a coloring stain used when IDing the bacteria under a microscope; gram-positives turn purple, gram-negatives turn red, it's based on the composition of their cell wall.

If the infectious organism is a "gram-positive" bacterium like Staphylococcus aureus or one of the streptococcus strains, it cannot produce the DIC effect; staph infections can cause lots of harm, but not DIC. "Gram-negative" bacteria, like the P. aeruginosa mentioned in the original article, have an additional poisonous compound called "endotoxin," and that is the cause of the DIC effect.

_MaH

Bad boy above there.     Sad to hear

That sucks, can family amputate the Doctors limbs as recourse for screwing up her life? Only seems fair.

Hmmm.

Socialized medicine in that country by any chance?

WTF!

Good luck ever finding a doctor if you implement that rule.

Be careful what you wish for.

she still has her tits and ass

Thats not funny

She could die

Hands down, this is the most disturbing thing I have read today.

no no no, it's socialist healthcare's fault.

Private healthcare has a 100% flawless record, didn't you hear?

Arfcom told me so!

HAHA... That's not right... (hands down)

Damn. Makes me glad I live where I do. Best of luck to her.

I'd say this just has to do with 'health care' itself, rather than 'socialist health care.'

If they had treated her with colloidal silver she'd be fine :\.

Stumping is the only thing she can do....


{ETA}: Ad before anyone gets butthurt, so fucking what? There is so much death in this world that her situation doesn't even matter in the grand scheme of things. WHere is the outcry for each baby that dies in the US due to illness, misdiagnosis, or government sanctioned murder?

The ONLY reason this is news is because whe was a beauty pagent winner.

Sorry, not enough to get me upset.

Do they put the tinfoil hat on her before the treatment or after?

There's nothing funny about this.

She died.



http://www.theaustralian.news.com.au/story/0,25197,24960178-12377,00.html

You can get DIC from gram positive septicemia as well - staph & strep can cause it, as can massive trauma, burns, etc... - there are a lot of causes.

my she rest in peace

We had a student up here in Ohio who went in to the campus medical center (yes, her university had its own clinic. All I ever got at my school was a half-assed nurse who didn't have regular hours and was never around.) complaining of nausea and pain in her arm and neck.

They told her she was fine and sent her back to the dorm.

She came in the next day and said it was even worse. The doctors examined her, told her she just had a sore throat and was having an anxiety problem and sent her back to the dorm again.

The third day she went in, they gave her the same bullshit, and she called her dad to come get her. He drove for two hours to come get her and found lying on an examination table literally writhing in pain and trying not to scream. Staff at the medical center remained unconcerned and told her it was all in her head.

Her dad took her to the hospital where they examined her, announced she had been infected with flesh-eating bacteria and had to go into surgery immediately or she'd die. They ended up amputating her right arm and shoulder to keep the infection from spreading.

Yeah. Dad's suing.

BTDT... got the lawyers to show for it.

I know dad's pissed, but how exactly were they supposed to differentiate that from any number of other "sore shoulder" complaints in an otherwise young, healthy female?  Do you propose to do a CT scan on every sore shoulder that walks in the door?

Necrotizing fasciitis is VERY hard to detect in many cases, especially if it's early.  I've seen two cases in my entire career.  One I diagnosed, the other I got sued on, though the patient's symptoms didn't start to show up until a few days AFTER I saw them (gotta love that whole "name everybody on the chart" thing).

Nearly an identical case to the one you describe happened to a colleague of mine about ten years ago.  Patient came in with a sore shoulder after some physical exercise, was prescribed some pain medication and sent home.  By the time he showed up at his regular doctor the next day, his kidneys were failing, his liver was too, and his blood pressure was in the toilet.  He died several days later in the ICU after multiple surgical debridements, and they sued EEEEEVVVEEERRRYYYONNNNEEE.  Took six years for it all to get worked out in the courts.

The sad thing is that I reviewed that chart as part of QA... and the very uncomfortable conclusion I came to was that if I'd seen the patient, I'd have done exactly what my colleague did.  No question.  

So the only reason why he got sued and went through six years of hell (and I didn't) was sheer dumb luck... all because he happened to be holding down the pit that day.

Yet the plaintiff's attorney did everything in his power to make my colleague look like a giant piece of sh*t in human form.

Damn