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Severe sepsis exists along a continuum initiated by a localized infection that triggers a systemic response. The gram-negative bacillus Yersinia pestis causes 2 principal forms of illness in humans, a localized infection of lymph nodes (bubonic plague) and a highly lethal septicemia that is a particularly fulminant form of septic shock (19). The otorrhea is believed to be linked to an associated localized infection, usually a Pseudomonas aeruginosa infection. |
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